Active NPI
Venecia Letrice Wesley, P.T.
- Physical Therapist
- Jonesboro, GA
National Provider Identifier
1952645004
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 002345
- Practice address
- 7594 Crestwicke Crossing Dr
Jonesboro, GA 30236-7262 - Phone
- (404) 374-5711
- NPI assigned
- Nov 15, 2012
- Last updated
- Nov 15, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 002345 | GA | Primary |
Addresses
Primary practice location
7594 Crestwicke Crossing Dr
Jonesboro, GA 30236-7262
Mailing address
7594 Crestwicke Crossing Dr
Jonesboro, GA 30236-7262
Phone (404) 374-5711
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002345 | GA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1352937600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1352937600000",
"number": "1952645004",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7594 CRESTWICKE CROSSING DR",
"city": "JONESBORO",
"state": "GA",
"postal_code": "302367262",
"telephone_number": "404-374-5711"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7594 CRESTWICKE CROSSING DR",
"city": "JONESBORO",
"state": "GA",
"postal_code": "302367262",
"telephone_number": "404-374-5711"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WESLEY",
"first_name": "VENECIA",
"middle_name": "LETRICE",
"name_prefix": "Ms.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-11-15",
"last_updated": "2012-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "002345",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jonesboro, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 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.