Jaya Reeves

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA003477 Issued in GA

Practice address

913 Main St Ste I
Stone Mountain, GA 30083-3096

Phone

(678) 694-8100

Fax

(678) 647-7939

NPI assigned

Feb 11, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Birds of Paradise Home Wellness and Physical Therapy Services,LLC

  • Physical Therapy Assistant
  • Stone Mountain, GA
  • NPI 1942788310
  NPD Authorized official

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

{
    "created_epoch": "1549843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624492800000",
    "number": "1932665353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "913 MAIN ST STE I",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300833096",
            "telephone_number": "678-694-8100",
            "fax_number": "678-477-9396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "913 MAIN ST STE I",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300833096",
            "telephone_number": "678-694-8100",
            "fax_number": "678-647-7939"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1550 S Hairston Rd",
            "address_purpose": "LOCATION",
            "city": "Stone Mountain",
            "state": "GA",
            "postal_code": "300883535",
            "country_code": "US",
            "telephone_number": "678-651-4902",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REEVES",
        "first_name": "JAYA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-11",
        "last_updated": "2021-06-24",
        "certification_date": "2021-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "GA",
            "license": "PTA003477",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rediclinic LLC
• Jerolyn N Redstrom, OTR
• Brandi Reed, LPC
• Deborah A Reed, RN-CNS/PMH
• Tameca Reed, MA, NCC, LPC
• Regency Health Associates
• Rehab and Beyond, Inc.
• Rehab of Stone Mountain
• Marjorie Reid
• Reneca Contracting & Consultant

• Physical Therapy Assistant in Stone Mountain, GA
• Providers in Stone Mountain, GA by specialty
• Physical Therapy Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2021; 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.