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

Stefan Alexander Jerome, PTA

Individual provider Physical Therapy Assistant · NPI 1255004552

Stefan Alexander Jerome, PTA is a Physical Therapy Assistant in Jonesboro, Georgia. Licensed in Georgia. Registered with an NPI since 2021.

Licensed in
GA
In the registry since
2021
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

335 Uppr Riverdale RD Ste B10
Jonesboro, GA 30236-1071
Phone: (770) 907-5743
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence PTA004704 (GA)

Record details

NPI number1255004552
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorNo
NPI enumeratedAugust 1, 2021
Last updated in NPPESAugust 2, 2021
Certification dateAugust 2, 2021
Mailing address335 Upper Riverdale Rd Ste B10, Jonesboro, GA 30236-1071

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