JENNIFER S DEYOUNG (NPI# 1215132170) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215132170 |
| Entity Type | Individual |
| Full Name | JENNIFER S DEYOUNG |
| Credential | MOT, OTRL, CHT |
| Practice Address |
2230 Towne Lake Pkwy Bldg 1200-100 Woodstock GA 30189-5581 |
| Mailing Address |
8823 Production Ln Ooltewah TN 37363-6511 |
| Practice Telephone | 7709262744 |
| Practice Fax Number | 7709262794 |
| Mailing Telephone | 4232387217 |
| Mailing Fax Number | 4232383473 |
| Enumeration Date | 2007-06-19 |
| Last Update Date | 2015-04-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225XH1200X |
Occupational Therapist Specialization: Hand |
OT002961 | GA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
2230 TOWNE LAKE PKWY BLDG 1200-100 |
| City | WOODSTOCK |
| State | GA |
| Zip Code | 30189-5581 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457601486 | Heather Ann Vanstory | Physical Therapist | 2230 Towne Lake Pkwy Bldg 1200-100, Woodstock, GA 30189-5581 | 2012-09-18 |
| 1194030528 | Benchmark Healthcare Services LLC | Clinic/Center | 2230 Towne Lake Pkwy Bldg 1200-100, Woodstock, GA 30189-5581 | 2010-08-10 |
| 1952631970 | Timothy Howard Johnson | Physical Therapist | 2230 Towne Lake Pkwy Bldg 1200-100, Woodstock, GA 30189-5581 | 2010-01-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801494356 | Susan Iruku | Pharmacist | 12050 Ga-92 #112, Woodstock, GA 30189 | 2020-10-15 |
| 1598267437 | Kelly Sierra | Nurse Practitioner | 100 Stoneforest Dr Ste 300, Woodstock, GA 30189 | 2018-03-07 |
| 1548770449 | Chandra Johnson | Nurse Practitioner | 295 Molly Lane Ste 150, Woodstock, GA 30189 | 2017-10-05 |
| 1083133912 | Amanda Bostock Sowisdral | Physician Assistant | 250 Parkbrooke Pl Ste 300, Woodstock, GA 30189 | 2017-09-12 |
| 1780101659 | Laura C Koch Woodstock LLC Dba Fountain View Dentistry | Dentist | 1816 Eagle Drive, Building 200-a, Woodstock, GA 30189 | 2017-08-23 |
| 1265954788 | Vicky Morton Bryan | Nurse Practitioner | 422 Sycamore Trail, Woodstock, GA 30189 | 2017-07-17 |
| 1063933588 | Marietta Eye Clinic, Pa | Optometrist | 2990 Eagle Dr Ste 110, Woodstock, GA 30189 | 2017-07-06 |
| 1275914749 | Nrup Tolat | Podiatrist | 100 Stoneforest Dr Ste 120, Woodstock, GA 30189 | 2015-06-10 |
| 1558781534 | Mary Jansson Carmon | Nurse Practitioner | 1000 Towne Lake Pkwy, Woodstock, GA 30189 | 2014-04-17 |
| 1518388941 | Afc Physicians of Georgia, PC | General Practice | 6440 Bells Ferry Rd, Woodstock, GA 30189 | 2014-01-03 |
| Find all providers in zip 30189 | ||||
| Taxonomy Code | 225XH1200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| Specialization | Hand |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801387907 | Joseph Edward Shaw IIi | Occupational Therapist | 655 Molly Ln Ste 4, Woodstock, GA 30189-6503 | 2018-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548727506 | Sherry Easton Johnson | Occupational Therapist | 3850 Pleasant Hill Rd Unit 1, Duluth, GA 30096-4807 | 2019-02-26 |
| 1821538216 | Ariana Madrid | Occupational Therapist | 2061 Peachtree Rd Ne Ste 450, Atlanta, GA 30309-1445 | 2017-03-03 |
| 1669915443 | Maria Isabel Posada | Occupational Therapist | 1285 Hembree Rd Ste 200, Roswell, GA 30076-5720 | 2016-11-28 |
| 1386031656 | Rachel Chariton | Occupational Therapist | 2300a Manchester Expy Ste 101b, Columbus, GA 31904-6812 | 2015-04-23 |
| 1356783757 | Hand Therapy Services, Inc. | Occupational Therapist | 5 Medical Dr Ne, Cartersville, GA 30121-8003 | 2013-07-25 |
| 1164765939 | Phyllis Nessell Denton | Occupational Therapist | 1851 Shoreline Trce, Grayson, GA 30017-1166 | 2013-03-31 |
| 1326396136 | North Georgia Hand Therapy, LLC | Occupational Therapist | 765 Peachtree Pkwy, Suite 2, Cumming, GA 30041-9522 | 2012-08-28 |
| 1568746568 | Donna Hall-rosenthal | Occupational Therapist | 4510 Nelson Brogdon Blvd, Buford, GA 30518-3478 | 2011-10-10 |
| 1770746729 | Alexis Ventimglia Najarro | Occupational Therapist | 2061 Peachtree Road, Suite 500, Atlanta, GA 30309 | 2008-07-09 |
| 1932306305 | Holley Hand Therapy, Inc. | Occupational Therapist | 140 Vann St Ne Ste 430, Marietta, GA 30060-7297 | 2007-06-29 |
| 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.