Jackson James Cervi
Jackson James Cervi is a Physical Therapist in Private Practice in Atlanta, Georgia. Qualified in 2020, 6 years ago. Practices with Peachtree Orthopaedic Clinic PA, a 132-clinician group and accepts Medicare assignment. Licensed in Georgia.
- Years since qualifying
- 6
- Licensed in
- GA
- In the registry since
- 2020
- Specialties on file
- 2
Practice location Address checks out
2001 Peachtree Rd NE Ste 705Atlanta, GA 30309-1476
Phone: (404) 355-0743
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Therapist (primary) | Taxonomy 225100000X · Licence PT014802 (GA) |
|---|---|
| Orthopedic Physical Therapist | Taxonomy 2251X0800X · Licence PT014802 (GA) |
Record details
| NPI number | 1013527811 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | August 6, 2020 |
| Last updated in NPPES | August 6, 2020 |
| Certification date | August 6, 2020 |
| Mailing address | 74 Montclair Dr Ne, Atlanta, GA 30309-1527 |
Medicare enrollment
| Medicare specialty | PHYSICAL THERAPIST IN PRIVATE PRACTICE |
|---|---|
| Medical school | OTHER |
| Graduated | 2020 (6 years in practice) |
| Group practice | Peachtree Orthopaedic Clinic Pa — 132 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
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