Active NPI
Jennifer Pollock Shankle
- Physical Therapist
- Peachtree City, GA
National Provider Identifier
1942560719
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT002826
- Legal business name
- JENNIFER POLLOCK SHANKLE
- Practice address
- 203 Glen Heather
Peachtree City, GA 30269-2782 - Phone
- (678) 373-7333
- NPI assigned
- May 25, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Jennifer Pollock Shankle
- Title
- Owner
- Phone
- (678) 373-7333
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT002826 | GA | Primary |
Addresses
Primary practice location
203 Glen Heather
Peachtree City, GA 30269-2782
Mailing address
203 Glen Heather
Peachtree City, GA 30269-2782
Phone (678) 373-7333
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1337904000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1337904000000",
"number": "1942560719",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "203 GLEN HEATHER",
"city": "PEACHTREE CITY",
"state": "GA",
"postal_code": "302692782",
"telephone_number": "678-373-7333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "203 GLEN HEATHER",
"city": "PEACHTREE CITY",
"state": "GA",
"postal_code": "302692782",
"telephone_number": "678-373-7333"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JENNIFER POLLOCK SHANKLE",
"organizational_subpart": "NO",
"enumeration_date": "2012-05-25",
"last_updated": "2012-05-25",
"status": "A",
"authorized_official_last_name": "SHANKLE",
"authorized_official_first_name": "JENNIFER",
"authorized_official_middle_name": "POLLOCK",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "678-373-7333",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT002826",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Peachtree City, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.