EDWARD BOLT (NPI# 1215313630) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215313630 |
| Entity Type | Individual |
| Full Name | EDWARD BOLT |
| Practice Address |
212 Retreat Vlg Ste 212 St Simons Island GA 31522-2403 |
| Mailing Address |
Po Box 949 Rome GA 30162-0949 |
| Practice Telephone | 9126381444 |
| Practice Fax Number | 9126380077 |
| Mailing Telephone | 7062349317 |
| Enumeration Date | 2015-08-07 |
| Last Update Date | 2018-01-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | PT012047 | GA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
212 RETREAT VLG STE 212 |
| City | ST SIMONS ISLAND |
| State | GA |
| Zip Code | 31522-2403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982186342 | Matthew Mackinnon Gibbs | Specialist/Technologist | 211 Village Dr, St Simons Is, GA 31522 | 2018-09-02 |
| 1770957433 | Jennifer Herrin, Lpc | Community/Behavioral Health | 400 Main Street, Cottage 1, Saint Simons Island, GA 31522 | 2015-11-18 |
| 1508113002 | Ashley Neal Callicutt | Counselor | 301 Sea Island Road, Suite G, St. Simons Island, GA 31522 | 2012-08-14 |
| 1235414103 | Dana D'andrea Duggan | Psychologist | 283 Redfern Village, St. Simons Island, GA 31522 | 2011-10-11 |
| 1528394848 | Nancy Hodges Bowen | Nurse Practitioner | 7000 Wellness Way, Suite 130, St. Simons Island, GA 31522 | 2009-10-21 |
| 1073763215 | John Arthur Hendry | Dentist | 511 Mallery Street, St. Simons Island, GA 31522 | 2008-09-24 |
| 1770775116 | Randolph M. Stevens | Dentist | Coastal Endodontic Associates, 1804 Frederica Rd., Ste B, St. Simons Island, GA 31522 | 2007-08-09 |
| 1689797383 | Angela C Barnard | Nurse Practitioner | 798 Mallery St Apt 2, Saint Simons Island, GA 31522 | 2007-04-09 |
| 1053493486 | Larry D. Daugherty | Dentist | 124 Island Professional Park, St Simons Island, GA 31522 | 2006-10-19 |
| 1134239460 | Joe Neil Garner | Dentist | 288 Redfern Village, St Simons Island, GA 31522 | 2006-08-30 |
| Find all providers in zip 31522 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710046503 | Kelly Hidalgo | Physical Therapist | 122 Strother Pl, St Simons Island, GA 31522-1876 | 2006-12-07 |
| 1124194261 | Physical Therapy Plus, Inc | Physical Therapist | 32 Midway Sq, St Simons Island, GA 31522-6701 | 2006-11-28 |
| 1639269574 | Elizabeth Thompson Daniel | Physical Therapist | 2601a Demere Rd, St Simons Island, GA 31522-1614 | 2006-10-13 |
| 1417440900 | Amauri Smith | Physical Therapist | 212 Retreat Vlg, St Simons Island, GA 31522-2403 | 2018-06-11 |
| 1063951754 | Alyssa Krol | Physical Therapist | 212 Retreat Vlg, St Simons Island, GA 31522-2403 | 2017-02-15 |
| 1215364385 | Leeat Adlersberg | Physical Therapist | 2601a Demere Rd, St Simons Island, GA 31522-1614 | 2013-10-03 |
| 1598101545 | Samantha Noelle Pitts | Physical Therapist | 2601a Demere Rd, St Simons Island, GA 31522-1614 | 2013-05-17 |
| 1992080121 | Daniel Allcott | Physical Therapist | 2601a Demere Rd, St Simons Island, GA 31522-1614 | 2011-10-19 |
| 1548564271 | Laura L. Glazier | Physical Therapist | 2601a Demere Rd, St Simons Island, GA 31522-1614 | 2011-01-10 |
| 1124145800 | Katie M Seymour | Physical Therapist | 2601a Demere Rd, St Simons Island, GA 31522-1614 | 2007-03-26 |
| Find all providers in ST SIMONS ISLAND | ||||
| City | ST SIMONS ISLAND |
| Zip Code | 31522 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.