Provider Demographics
NPI:1447355409
Name:CURRY, JEFFREY S (PT)
Entity type:Individual
Prefix:
First Name:JEFFREY
Middle Name:S
Last Name:CURRY
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1660 WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:JEFFERSON
Mailing Address - State:GA
Mailing Address - Zip Code:30549-2666
Mailing Address - Country:US
Mailing Address - Phone:706-367-1898
Mailing Address - Fax:706-367-1899
Practice Address - Street 1:1660 WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:JEFFERSON
Practice Address - State:GA
Practice Address - Zip Code:30549
Practice Address - Country:US
Practice Address - Phone:706-367-1898
Practice Address - Fax:706-367-1899
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-14
Last Update Date:2018-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPT003129225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA000548941HMedicaid
GA65BBCQXOtherMEDICARE PROVIDER NUMBER
GAGRP6725OtherMEDICARE PTAN
GA307903OtherCOVENTRY HEALTHCARE
GA564745OtherFIRST HEALTH
GA65BBCQXOtherMEDICARE PROVIDER NUMBER
0005327119OtherAETNA PIN
GAGRP6725OtherMEDICARE PTAN
GA1006337Medicaid
0005327119OtherAETNA PIN