Jenna Caroline Bayne, DPT
Individual provider Active NPI Physical Therapist · Dunwoody, GA
NPI 1982259099 · NPPES record last updated Aug 6, 2019
Key facts
- NPI
- 1982259099
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT014143 (GA)
- Practice address
- 5513 Chamblee Dunwoody Rd
Dunwoody, GA 30338-4106 - Phone
- (770) 551-9184
- Fax
- (770) 698-9184
- NPI assigned
- Aug 6, 2019
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT014143 | GA | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT014143 | GA | Yes |
Addresses
Primary practice location
5513 Chamblee Dunwoody Rd
Dunwoody, GA 30338-4106
Mailing address
2788 Briarglen Dr
Atlanta, GA 30340-5104
Phone (678) 773-7803
Other providers in Dunwoody, GA
- Sebrena Bartlett
- Michele Whiten Barton
- Nalandra Barton
- Miranda Barzey
- Devika Basu
- Teresa Lianne Beck
- Monica Denise Bell
- Ronnette J Belton
- Natalia Benza
- Gloria Ana Berenson
All providers in Dunwoody, GA · Physical Therapist in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 6, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.