Organization Active NPI

Jennifer Pollock Shankle

  • Physical Therapist
  • Peachtree City, GA
National Provider Identifier
1942560719
Registry record updated May 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT002826 Issued in GA
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

Updated by the provider on May 25, 2012

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)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.