MEDICARE: JACOB RAYMOND

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	PT013508	GA

General Provider Information

NPI Number	:	1851870042
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JACOB RAYMOND

Provider Business Mailing Address
First Line	:	495 WINN WAY STE 250
Second Line	:
City	:	DECATUR
State	:	GA
Zip	:	30030-1751
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	495 WINN WAY STE 250
Second Line	:
City	:	DECATUR
State	:	GA
Zip	:	30030-1751
Country	:	US
Telephone Number	:	404-294-1313
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/09/2018
Last Update Date	:	08/09/2018

Similar Medicare Providers

1568837227 — EMILY KATZ JAEGER D.P.T.
Practice Location Address:

495 WINN WAY STE 250
DECATUR, GA
30030-1751

Practice Phone: 404-294-1313
Practice Fax:

1720496029 — PAULI MCPHERSON
Practice Location Address:

495 WINN WAY STE 250
DECATUR, GA
30030-1751

Practice Phone: 404-294-1313
Practice Fax:

1699499947 — JOSEPH CHUDY DPT
Practice Location Address:

495 WINN WAY STE 250
DECATUR, GA
30030-1751

Practice Phone: 404-294-1313
Practice Fax: 404-294-1318

1225813777 — VALENTINA VELASQUEZ DPT, PT
Practice Location Address:

495 WINN WAY STE 250
DECATUR, GA
30030-1751

Practice Phone: 404-294-1313
Practice Fax:

1992652044 — WOMEN'S IMAGING SPECIALISTS - DECATUR, LLC
Practice Location Address:

320 WINN WAY STE 103
DECATUR, GA
30030-2102

Practice Phone: 866-300-8512
Practice Fax: 800-889-0100

1326996349 — MRS. BERNICE T TAYLOR
Practice Location Address:

250 N ARCADIA AVE
DECATUR, GA
30030-2115

Practice Phone: 404-321-6111
Practice Fax:

Directions to “ JACOB RAYMOND ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.