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TIPHANI JACKSON, PT, DPT, ATC

Deactivated

TIPHANI JACKSON, PT, DPT, ATC is a Physical Therapy Assistant healthcare provider located in ATLANTA, Georgia. NPI 1568911071 is deactivated in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · ATLANTA, GA

This NPI has been deactivated. The record was deactivated on September 1, 2018. Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated. Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.

Registration Details

NPI Number
1568911071
Provider Type
Individual
Gender
Female
NPI Issued
Sep 26, 2016 (1.9315068493151 yrs)
Last Updated
Aug 13, 2024
Deactivated
Sep 1, 2018
Licenses
27375 (MD)
CP033025T (GA)

Practice Information

Address
925 GARRETT ST SE STE J
ATLANTA, GA, 303166833
Browse GA providers · Browse ZIP 30316
Phone
4046245407
Primary Specialty
Physical Therapy Assistant
225100000X
Additional Specialty
Physical Therapy Assistant

Other Physical Therapy Assistant Providers in ATLANTA, GA

Name Credential NPI
LISA GAIL GRUENSFELDER PHYSICAL THERAPIST 1649270570
TERESA BRISTOL PT, CERT. DN, DPT 1053381400
KARI ROBITAILLE WALDRON PT, MPT 1265400600
EUGENE HANNAH PT 1730143678
MEGAN PALUMBO MPT 1700840642
DR. BRIAN C HEALY DC, PT 1215992136
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.