Active NPI
Jessica Levin Waterman, PT, DPT
- Physical Therapist
- Austell, GA
National Provider Identifier
1962730994
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 9903
- Practice address
- 1025 E West Connector
Suite 406
Austell, GA 30106-8513 - Phone
- (770) 384-1101
- Fax
- (770) 384-0333
- NPI assigned
- Dec 2, 2009
- Last updated
- Nov 24, 2013
- 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 | 9903 | GA | Primary |
Addresses
Primary practice location
1025 E West Connector
Suite 406
Austell, GA 30106-8513
Mailing address
8823 Production LN
Ooltewah, TN 37363-6511
Phone (423) 238-7217
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PT009903 | Other | GA | PHYSICAL THERAPIST |
Other names 1
- Jessical Lynn Levin
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
8010 Roswell Rd
Suite 120
Atlanta, GA 30350-7013
Phone (770) 360-9271
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Turningpoint Breast Cancer Rehabilitation, Inc. | Current | Accepting new patients |
Locations
8010 Roswell Rd
Ste 120
Sandy Springs, GA 30350
Phone (770) 360-9271
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapy Clinic/Center
- Atlanta, GA
- NPI 1053309237
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1259712000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1385251200000",
"number": "1962730994",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8823 PRODUCTION LN",
"city": "OOLTEWAH",
"state": "TN",
"postal_code": "373636511",
"telephone_number": "423-238-7217",
"fax_number": "423-238-3473"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1025 E WEST CONNECTOR",
"address_2": "SUITE 406",
"city": "AUSTELL",
"state": "GA",
"postal_code": "301068513",
"telephone_number": "770-384-1101",
"fax_number": "770-384-0333"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATERMAN",
"first_name": "JESSICA",
"middle_name": "LEVIN",
"name_prefix": "Mrs.",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-12-02",
"last_updated": "2013-11-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "9903",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICAL THERAPIST",
"identifier": "PT009903",
"state": "GA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JESSICAL",
"last_name": "LEVIN",
"middle_name": "LYNN",
"credential": "PT, DPT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Austell, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.