JENNIFER ANNE UPHAM X (NPI# 1124407929) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124407929 |
| Entity Type | Individual |
| Full Name | JENNIFER ANNE UPHAM X |
| Credential | PTA |
| Practice Address |
4216 Bridlecreek Dr Nw Acworth GA 30101-3872 |
| Practice Telephone | 4044294012 |
| Mailing Telephone | 4044294012 |
| Enumeration Date | 2015-05-26 |
| Last Update Date | 2015-05-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251G0304X |
Physical Therapist Specialization: Geriatrics |
PTA0003392 | GA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477196293 | Jennifer Lintag Upham | Behavioral Analyst | 407 Uluniu St Ste 113, Kailua, HI 96734-2531 | 2019-10-24 |
| Street Address |
4216 BRIDLECREEK DR NW |
| City | ACWORTH |
| State | GA |
| Zip Code | 30101-3872 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952931552 | A3j Incorporated | Registered Nurse | 3905 Cobb Pkwy Nw Ste 305, Acworth, GA 30101 | 2020-01-22 |
| 1043869852 | Sharron Leigh Lipscomb | Acupuncturist | 3661 Cedarcrest Rd Ste 320, Acworth, GA 30101 | 2019-09-05 |
| 1699322933 | Cowry Home Dialysis LLC | Durable Medical Equipment & Medical Supplies | 4450 Calibre Crossings Nw, Suite # 1122, Acworth, GA 30101 | 2019-08-21 |
| 1760979595 | Sandra Jeanetta Pugh | Counselor | 118 Clubhouse Crossing, Acworth, GA 30101 | 2018-04-17 |
| 1679926950 | Cindy Hatfield Fruits | Psychologist | 4839 N. Main Street, Acworth, GA 30101 | 2016-07-21 |
| 1396192563 | Philip Young | Specialist/Technologist | 4841 Lake Park Lane, Acworth, GA 30101 | 2016-05-18 |
| 1770960619 | Karen Fuller | Marriage & Family Therapist | 2487 Cedarcrest Rd Ste 722, Acworth, GA 30101 | 2015-04-29 |
| 1366830333 | Willard Hogan IIi | Physician Assistant | 1720 Mars Hill Rd Nw Ste 8-175, Acworth, GA 30101 | 2014-12-29 |
| 1386042083 | Sebastian Diaz Fischer | Chiropractor | 2639 Hickory Grove Rd, Suit 150, Ackworth, GA 30101 | 2014-12-11 |
| 1841699337 | J Chappell Md PC | Dermatology | 4450 Calibre Crossings, Suite 1208, Acworth, GA 30101 | 2014-08-20 |
| Find all providers in zip 30101 | ||||
| Taxonomy Code | 2251G0304X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Geriatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457952509 | Stephanie Miller | Physical Therapist | 313 Furys Ferry Rd, Martinez, GA 30907-3001 | 2020-11-05 |
| 1861965204 | Tamphamani Chiragkumar Patel | Physical Therapist | 1235 Briers Creek Dr, Alpharetta, GA 30004-7116 | 2019-01-08 |
| 1356818652 | Excelarate Physical Therapy | Physical Therapist | 216 Harrison Ln, Brunswick, GA 31520-1959 | 2018-10-25 |
| 1851832430 | Jennifer Williams | Physical Therapist | 4999 Presley Mill Rd, Douglasville, GA 30135 | 2017-03-15 |
| 1316482755 | Corinthias Burnett | Physical Therapist | 7090 Arbor Pkwy Apt 1427, Douglasville, GA 30135-1583 | 2016-12-20 |
| 1801138540 | Terri Coley | Physical Therapist | 5357 Mccaghren Dr, Columbus, GA 31909-4184 | 2013-03-20 |
| 1578809174 | Marjorie Pomeroy Baker | Physical Therapist | 223 S Crawford St, Thomasville, GA 31792-5504 | 2012-12-31 |
| 1730377169 | Penny Wright | Physical Therapist | 1981 Sandcreek Dr Sw, Atlanta, GA 30331-8404 | 2007-10-10 |
| 1558583773 | Seetal J Deluca | Physical Therapist | 3581 Braselton Hwy, Dacula, GA 30019-1027 | 2007-05-03 |
| 1013132869 | Edward Davis Ryan | Physical Therapist | 1626 Hastings Ct, Gainesville, GA 30504-2629 | 2007-04-16 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.