Jelly Beans Physical Therapy, LLC

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

GA006299 Issued in GA

Legal business name

JELLY BEANS PHYSICAL THERAPY, LLC

Practice address

37 W Fairmont Ave Ste 321
Savannah, GA 31406-3459

Phone

(912) 659-8099

Fax

(912) 257-7315

NPI assigned

Jan 28, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Wanda Swan, PTNPI 1578530861

Title

Owner

Phone

(912) 659-8099

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Wanda Swan, PT

  • Pediatric Physical Therapist
  • Savannah, GA
  • NPI 1578530861

  Pediatrics

  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1517097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648944000000",
    "number": "1891293593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15422",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314162122",
            "telephone_number": "912-659-8099",
            "fax_number": "912-257-7315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 W FAIRMONT AVE STE 321",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314063459",
            "telephone_number": "912-659-8099",
            "fax_number": "912-257-7315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JELLY BEANS PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-28",
        "last_updated": "2022-04-03",
        "certification_date": "2021-12-05",
        "status": "A",
        "authorized_official_last_name": "SWAN",
        "authorized_official_first_name": "WANDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "912-659-8099",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Pediatrics",
            "state": "GA",
            "license": "GA006299",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000944501G",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carolyn Tolbert Jeffery, REGISTERED NURSE
• Megan Alanah Jeffery
• Jeffrey P. Schyberg, M.D., P.C.
• Danae Marie Jeffrey, MD
• Nicole Alexandra Jeffries, CAA
• Jen Marks Acupuncture and Herbal Medicine Center, LLC
• Alicia Danielle Jenkins
• James G Jenkins
• Katlyn Jenkins, PTA
• Mark A Jenkins, D.O.

• Pediatric Physical Therapist in Savannah, GA
• Providers in Savannah, GA by specialty
• Pediatric Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.