P Praxis·MD
● Active Type 1 · Individual

MS. Nicole Renee Studevan, P.T.

Physical Therapist·Jonesboro, GA· NPI 1588720403 · Enumerated 2006 · 19 years on NPI
Studevan is 1 of 24 physical therapist providers in Jonesboro and 1 of 7225 in Georgia.
NPI age
19 years
Enumerated 2006-12-28
Primary specialty
Physical Therapist
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2007-07-09
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 7225 active physical therapist providers in Georgia.

NPI age
19 years
↑ 9 yr above median (10 yr)
State licenses
1 state
10% of peers hold multiple states
Subspecialties
0
18% of peers hold subspecialties

NPI lifetime · 2006 → 2026

2006-12Enumerated in NPPES
2006 2026

Where they practice

Practice location
1698 Fontaine Dr
Jonesboro, GA 302363322
📞 4043587836fax 7704788448
Mailing address
1698 Fontaine Dr
Jonesboro, GA 302363322
📞 4043587836fax 7704788448

Specialties

  • Physical Therapist Primary
    Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities...
    GA license #PT006746 taxonomy 225100000X

Practice context

Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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