Jacqueline Varnum, PT, DPT, OCS, CSCS
NPI 1720521230ActiveIndividual· Physical Therapist· Avondale Estates, GA
Physical Therapist (PT, DPT, OCS, CSCS) in Avondale Estates, Georgia, licensed in GA, with an NPI issued in December 2016.
Overview
| NPI | 1720521230 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PT, DPT, OCS, CSCS |
| Sole proprietor | No |
| NPI issued | Dec 1, 2016 |
| Last updated in NPPES | Jan 14, 2022 |
| Certified by provider | Jan 14, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | PT012353 | GA |
| Physical Therapist, Orthopedic | 2251X0800X | PT012353 | GA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 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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