JENNIFER ANNE UPHAM X PTA
NPI 1124407929
Physical Therapist - Geriatrics in Acworth, GA

Q: What is Jennifer Upham's NPI number?

The NPI number for Jennifer Upham is 1124407929. It was assigned to this individual provider in the NPPES registry on May 26, 2015.

Q: What is Jennifer Upham's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Geriatrics, with taxonomy code 2251G0304X.

Q: When was this NPI record last updated?

The NPPES record for Jennifer Upham was last updated on May 26, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 26, 2015

4216 BRIDLECREEK DR NW, ACWORTH, GA 30101(404) 429-4012 Get Directions Write a Review

NPPES record last updated: May 26, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Jennifer Anne Upham X Pta NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JENNIFER ANNE UPHAM X PTA (NPI 1124407929) is an individual geriatrics provider in Acworth, Georgia, licensed in Georgia (PTA0003392) and active in the NPI registry since May 2015.

NPPES Registry Identity

NPI1124407929

Entity TypeIndividualFemale

Primary Taxonomy2251G0304X

Provider Legal NameJENNIFER ANNE UPHAM XCredential: PTA

Location Address4216 BRIDLECREEK DR NWAcworth, GA 30101-3872

Mailing Address4216 Bridlecreek Dr NwAcworth, GA 30101-3872 · (404) 429-4012

Phone(404) 429-4012

Sole ProprietorYes

Enumeration DateMay 26, 2015

✔ NPI 1124407929 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · GeriatricsRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code2251G0304X

License✔ Licensed in GA · PTA0003392

Definition

A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Geriatric Physical Therapy, who has demonstrated specialized knowledge and skill in the comprehensive biopsychosocial assessment and evidence-based management of movement in aging adults. This includes, but is not limited to, specialized knowledge in and consideration of normal age-related changes and pathological manifestations across all systems; cognition and mental health; polypharmacy; fall risk mitigation; bone health; healthy and active aging, and socioeconomic and health policy issues affecting aging adults. The geriatric physical therapist is an integral part of the interdisciplinary geriatric team and serves as an advocate for the highest level of well-being for the older adult.

4216 BRIDLECREEK DR NW, Acworth, GA 30101

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jennifer Upham's NPI number?

The NPI number for Jennifer Upham is 1124407929. It was assigned to this individual provider in the NPPES registry on May 26, 2015.

Where is Jennifer Upham located?

Jennifer Upham practices at 4216 Bridlecreek Dr NW, Acworth, GA 30101. The listed phone number is (404) 429-4012.

What is Jennifer Upham's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Geriatrics, with taxonomy code 2251G0304X.

When was this NPI record last updated?

The NPPES record for Jennifer Upham was last updated on May 26, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.