Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jennifer Anne Upham X, PTA

Individual provider Geriatric Physical Therapist · NPI 1124407929

Jennifer Anne Upham X, PTA is a Geriatric Physical Therapist in Acworth, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2015
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

See every abbreviation used in this directory →

Practice location Address checks out

4216 Bridlecreek Dr NW
Acworth, GA 30101-3872
Phone: (404) 429-4012
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Geriatric Physical Therapist (primary) Taxonomy 2251G0304X · Licence PTA0003392 (GA)

Record details

NPI number1124407929
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorYes
NPI enumeratedMay 26, 2015
Last updated in NPPESMay 26, 2015