Jacqueline Renee Stephenson, PTA
NPI 1518655570ActiveIndividual· Physical Therapy Assistant· Fort Oglethorpe, GA
Physical Therapy Assistant (PTA) in Fort Oglethorpe, Georgia, licensed in GA, with an NPI issued in April 2023.
Overview
| NPI | 1518655570 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PTA |
| Sole proprietor | No |
| NPI issued | Apr 27, 2023 |
| Last updated in NPPES | Apr 27, 2023 |
| Certified by provider | Apr 27, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapy Assistant Primary | 225200000X | 000357 | GA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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