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Chasity Jackson

Physical Therapy Assistant β€’ Chamblee, GA

Active NPI 1003709080 Individual Practitioner Female Practitioner
Practice location in NPPES

5440 Peachtree Blvd
Chamblee, GA 303412255

Call 4707190090 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

5440 Peachtree Blvd

Chamblee, GA 303412255

Telephone 4707190090
Fax 4707190091
Organization at the Same NPPES Address or Phone
Team Rehabilitation Services, Llc Facility NPI 1144990490

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2025

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Chamblee and Georgia

1 active clinicians are listed under Physical Therapy Assistant with a practice address in Chamblee, GA (1,130 in Georgia).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-08-01
Physical Therapy Assistant Primary Specialty

NUCC Taxonomy Code: 225200000X

License # reported to NPPES GA PTA005168

(1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of the physical therapist assistant. The PTA performs physical therapy procedures and related tasks that have been selected and delegated by the supervising physical therapist. Duties of the PTA include assisting the physical therapist in implementing treatment programs, training patients in exercised and activities of daily living, conducting treatments, and reporting to the physical therapist on the patient's responses. In addition to direct patient care, the PTA may also perform such functions as patient transport, and clinic or equipment preparation and maintenance. Currently more than half of all states require PTAs to be licensed, registered or certified. (2) An individual who works under the supervision of a physical therapist to assist him or her in providing physical therapy services. A physical therapy assistant may, for instance, help patients follow an appropriate exercise program that will increase their strength, endurance, coordination, and range of motion and train patients to perform activities of daily life.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Georgia Composite Medical Board.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

6 listed
Denise Daisy , PT

Physical Therapist

NPI 1629150255

Physical Therapist

Dr. Scott Leaderman , DPT

Physical Therapist

NPI 1255886024

Doctor of Physical Therapy

Amanda Mattison , PT

Physical Therapist

NPI 1194208678

Physical Therapist

Dr. Keenon Myers , DPT

Physical Therapist

NPI 1174300016

Doctor of Physical Therapy

Dr. Kelsey O'regan , DPT

Physical Therapist

NPI 1518585033

Doctor of Physical Therapy

Dr. Lori Tran , DPT

Physical Therapist

NPI 1093453409

Doctor of Physical Therapy

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location August 01, 2025

Registered at 5440 PEACHTREE BLVD, CHAMBLEE, GA 303412255 (Tel: 4707190090)

πŸ“
Updated Business Mailing Address August 01, 2025

Registered at 33900 HARPER AVE STE 104, CLINTON TWP, MI 480354258

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 01, 2025

Physical Therapy Assistant (license number reported to NPPES: GA PTA005168)

βœ…
NPI Profile Active May 30, 2025

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) May 30, 2025

Registered at 6395 OLD NATIONAL HWY, COLLEGE PARK, GA 303494422 (Tel: 7709940188)

πŸ“
Business Mailing Address (Initial Record) May 30, 2025

Registered at 3725 PRINCETON LAKES PKWY SW APT 5204, ATLANTA, GA 303315553

πŸ‘€
Provider Name / Credentials (Initial Record) May 30, 2025

Recorded as CHASITY JACKSON

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 30, 2025

Physical Therapy Assistant

🟒
Initial NPI Registration & Enumeration May 30, 2025

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1003709080
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 30, 2025
Last Update: August 01, 2025
Sole Proprietor: No

Mailing Address

33900 Harper Ave Ste 104

Clinton Twp, MI 480354258

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.