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JAKE PARHAM OTR/L
NPI 1790324101
Occupational Therapist - Hand in Fayetteville, GA

Active since January 02, 2020Accepts Medicare Assignment
1275 HIGHWAY 54 W STE 200, FAYETTEVILLE, GA 30214(770) 460-8609 Get Directions Write a Review

NPPES record last updated: June 30, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 30, 2025, Feb 10, 2025, Jan 2, 2020 (3 updates tracked since 2020).

About Jake Parham Otr/l NPPES

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

JAKE PARHAM OTR/L (NPI 1790324101) is an individual hand provider in Fayetteville, Georgia, licensed in Georgia (OT008793) and active in the NPI registry since January 2020. He is a graduate of Other (2022).

NPPES Registry Identity

NPI1790324101
Entity TypeIndividualMale
Primary Taxonomy225XH1200X
Provider Legal NameJAKE PARHAMCredential: OTR/L
Location Address1275 HIGHWAY 54 W STE 200Fayetteville, GA 30214-4538
Mailing Address1200 Corporate Dr Ste 400Hoover, AL 35242-5424
Phone(770) 460-8609
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJanuary 2, 2020
Last NPPES UpdateJune 30, 20253 updates tracked since enumeration
NPPES CertifiedJune 30, 2025
✔ NPI 1790324101 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyOccupational Therapist · HandRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225XH1200X
License✔ Licensed in GA · OT008793
Also ListedBehavior TechnicianTaxonomy 106S00000X
Also ListedOccupational Therapist · PediatricsTaxonomy 225XP0200X · License OT008793 (GA)
1275 HIGHWAY 54 W STE 200, Fayetteville, GA 30214
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jake Parham Otr/l is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4183139678
PECOS Enrollment IDI20250714003530

Medicare Billing Reassignments

3

Medicare enrollment records show Jake Parham reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Atlanta South Physical Therapy, Inc
Same address
Physical Therapist
1275 HIGHWAY 54 W, SUITE 202
Fayetteville, GA 30214
  • Reassigned Medicare billing, Georgia enrollment
  • Medicare enrollment name: Benchmark Physical Therapy, Inc
  • 788 clinicians in this Medicare group
NPI 1841460912 (770) 460-8609
Independent Physical Therapy Of Ga, LLC
7.6 mi
Physical Therapist
1280 HIGHWAY 74 S, STE 210
Peachtree City, GA 30269
  • Reassigned Medicare billing, Georgia enrollment
  • Medicare enrollment name: Independent Physical Therapy Of Georgia, LLC
  • 1,061 clinicians in this Medicare group
NPI 1346780632 (770) 486-6398
Agilitas Usa Inc
123 mi
Physical Therapy
2177 NORTHPOINT BLVD STE 101
Hixson, TN 37343
  • Reassigned Medicare billing, Georgia enrollment
  • 521 clinicians in this Medicare group
NPI 1962417444 (423) 870-1289

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SARAH GRACE OSBORNE OT
Physical Therapist
1275 HIGHWAY 54 W STE 200
FAYETTEVILLE, GA 30214
Fayette County (770) 460-8609
PRIYANKA GORUKANTI
Physical Therapist
1275 HIGHWAY 54 W STE 200
FAYETTEVILLE, GA 30214
Fayette County (770) 460-8609
MICHELE HOWELL
Physical Therapist
1275 HIGHWAY 54 W STE 200
FAYETTEVILLE, GA 30214
Fayette County (770) 460-8609
MATTHEW BLAKE APPLEMAN PTA
Physical Therapist
1275 HIGHWAY 54 W STE 200
FAYETTEVILLE, GA 30214
Fayette County (770) 460-8609
REDDICK RAY MATULAC TERRE PT
Physical Therapist
1275 HIGHWAY 54 W STE 200
FAYETTEVILLE, GA 30214
Fayette County (770) 460-8609
TUCKER KEITH FORBES ATC
Specialist/Technologist (Athletic Trainer)
1275 HIGHWAY 54 W STE 200
FAYETTEVILLE, GA 30214
Fayette County (770) 460-8609
LAUREN ELIZABETH MCCULLOUGH DPT
Physical Therapist
1275 HIGHWAY 54 W STE 200
FAYETTEVILLE, GA 30214
Fayette County (770) 460-8609
BETHANY MUELLER PT, DPT
Physical Therapist
1275 HIGHWAY 54 W STE 200
FAYETTEVILLE, GA 30214
Fayette County (770) 460-8609

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 Jake Parham's NPI number?

The NPI number for Jake Parham is 1790324101. It was assigned to this individual provider in the NPPES registry on January 2, 2020.

Where is Jake Parham located?

Jake Parham practices at 1275 Highway 54 W Ste 200, Fayetteville, GA 30214. The listed phone number is (770) 460-8609.

What is Jake Parham's specialty?

The primary specialty registered for this NPI is Occupational Therapist, specializing in Hand, with taxonomy code 225XH1200X.

Is Jake Parham enrolled in Medicare?

Yes. Jake Parham is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Jake Parham's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jake Parham reassigns Medicare benefits to 3 organizations: Atlanta South Physical Therapy, Inc (Fayetteville, GA), Independent Physical Therapy Of Ga, LLC (Peachtree City, GA) and Agilitas Usa Inc (Hixson, TN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jake Parham's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jake Parham accept?

Health plans from Alliant Health Plans, Inc. list Jake Parham as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jake Parham was last updated on June 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.