Active NPI
Jessica Marie Lanford, , DPT
- Physical Therapist
- Evans, GA
National Provider Identifier
1992321590
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT014616
- Practice address
- 601 N Belair SQ Ste 19
Evans, GA 30809-4324 - Phone
- (706) 831-1128
- Fax
- (770) 230-0157
- NPI assigned
- Jun 19, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 10268 | SC | |
| Physical Therapist | 225100000X | PT014616 | GA | Primary |
Addresses
Primary practice location
601 N Belair SQ Ste 19
Evans, GA 30809-4324
Mailing address
601 N Belair SQ Ste 19
Evans, GA 30809-4324
Phone (706) 831-1128
Other names 1
- Jessica M Eberhardt
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 |
|---|---|---|---|
| PT014616 | GA | MD | Physical Therapist |
| 10268 | SC | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Better Days Therapies of Augusta | Physical Therapist | Current | Accepting new patients |
| Pediatric Therapy of Aiken, LLC | Physical Therapist | Past | Accepting new patients |
| Pediatric Therapy of Aiken, LLC | Past | Accepting new patients |
Locations
805 Oakhurst Dr
Ste A
Evans, GA 30809
Phone (706) 831-1128
601 N Belair Sq
Ste 19
Evans, GA 30809
Phone (706) 364-1486
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Speech-Language Pathologist
- Evans, GA
- NPI 1477241404
Physical Therapist
-
- Durable Medical Equipment & Medical Supplies
- Aiken, SC
- NPI 1588002026
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1592524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684800000000",
"number": "1992321590",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 N BELAIR SQ STE 19",
"city": "EVANS",
"state": "GA",
"postal_code": "308094324",
"telephone_number": "706-831-1128",
"fax_number": "770-230-0157"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 N BELAIR SQ STE 19",
"city": "EVANS",
"state": "GA",
"postal_code": "308094324",
"telephone_number": "706-831-1128",
"fax_number": "770-230-0157"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANFORD",
"first_name": "JESSICA",
"middle_name": "MARIE",
"credential": ", DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-06-19",
"last_updated": "2023-05-23",
"certification_date": "2023-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "SC",
"license": "10268",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT014616",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JESSICA",
"last_name": "EBERHARDT",
"middle_name": "M",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Evans, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.