NPI age
4 years
Enumerated 2021-06-15
● Active
Type 1 · Individual
James Pemberton, PTA
Pemberton is 1 of 2 physical therapy assistant providers in Watkinsville and 1 of 1124 in Georgia.
Primary specialty
Physical Therapy Assistant
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-01-10
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 1124 active physical therapy assistant providers in Georgia.
NPI age
4 years
↓ 5 yr below median (9 yr)
State licenses
1 state
6% of peers hold multiple states
Subspecialties
0
8% of peers hold subspecialties
NPI lifetime · 2021 → 2026
2021-06Enumerated in NPPES
2021
2026
Where they practice
Practice location
1400 Live Oak Ln Bldg 100
Watkinsville, GA 30677
Mailing address
1400 Live Oak Ln Bldg 100
Watkinsville, GA 30677
Specialties
-
Physical Therapy Assistant Primary(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...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 | 15168052 | CAQH NUMBER |
Practice context
Solo or small practice. No other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.