JENNA RAYE BAZEMORE (NPI# 1396182184) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396182184 |
| Entity Type | Individual |
| Full Name | JENNA RAYE BAZEMORE |
| Credential | DPT |
| Practice Address |
1499 Fair Rd Statesboro GA 30458-1683 |
| Practice Telephone | 9124861680 |
| Mailing Telephone | 9124861680 |
| Enumeration Date | 2013-06-03 |
| Last Update Date | 2013-06-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | PT010617 | GA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1499 FAIR RD |
| City | STATESBORO |
| State | GA |
| Zip Code | 30458-1683 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205839024 | Eric M Chand | Pathology | 1499 Fair Rd, Statesboro, GA 30458-1683 | 2005-05-24 |
| 1174146187 | Trevor Weathersby | Nurse Anesthetist, Certified Registered | 1499 Fair Rd, Statesboro, GA 30458-1683 | 2020-05-26 |
| 1689205593 | Tiara Leonna Bradley | Nurse Practitioner | 1499 Fair Rd, Statesboro, GA 30458-1683 | 2020-01-29 |
| 1619493517 | Cody Robert Ward | Physician Assistant | 1499 Fair Rd, Statesboro, GA 30458-1683 | 2017-08-22 |
| 1316467467 | Stephanie Lindamood | Nurse Practitioner | 1499 Fair Rd, Statesboro, GA 30458-1683 | 2017-06-20 |
| 1386010478 | Wendy Futch | Nurse Practitioner | 1499 Fair Rd, Statesboro, GA 30458-1683 | 2015-08-12 |
| 1134524036 | Tristia Knight | Nurse Practitioner | 1499 Fair Rd, Statesboro, GA 30458-1683 | 2014-11-04 |
| 1871930578 | Jennifer L Roberson | Physical Therapy Assistant | 1499 Fair Rd, Statesboro, GA 30458-1683 | 2013-06-04 |
| 1346687191 | Janet C Shaw | Speech-Language Pathologist | 1499 Fair Rd, Statesboro, GA 30458-1683 | 2013-06-03 |
| 1225475015 | Julie A Gentile | Physical Therapy Assistant | 1499 Fair Rd, Statesboro, GA 30458-1683 | 2013-06-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639642218 | Youtherapy | Counselor | 430 Northside Dr East, Suite 160 Mb326, Statesboro, GA 30458 | 2019-01-07 |
| 1053891853 | Alexandria Franklin | Specialist/Technologist | 1332 Southern Dr, Statesboro, GA 30458 | 2018-08-21 |
| 1740780006 | Michael Ryan Clark | Pharmacist | 556 Northside Drive, Statesboro, GA 30458 | 2018-02-13 |
| 1689186405 | Chandler James Herman | Specialist/Technologist | 590 Herty Dr., Statesboro, GA 30458 | 2017-11-02 |
| 1477009181 | Mama Doc Pediatrics, LLC | Pediatrics | 400 East Grady Street, Statesboro, GA 30458 | 2016-09-01 |
| 1053761171 | Rebekah Roessler | Specialist/Technologist | 2687 Akins Blvd, Statesboro, GA 30458 | 2016-06-20 |
| 1427412253 | Refocus Counseling and Consulting Services | Community/Behavioral Health | 4325 Country Club, 4, Statesboro, GA 30458 | 2016-04-07 |
| 1023408523 | Kacy H. Nesmith | Nurse Practitioner | 1098 Bermuda Run, Suite 6, Statesboro, GA 30458 | 2015-02-04 |
| 1760870398 | Jessica Pasternack | Specialist/Technologist | 2687 Akins Boulevard, Statesboro, GA 30458 | 2015-01-06 |
| 1922401629 | Nathan D'amico | Student in an Organized Health Care Education/Training Program | 15 W Grady Street Unit A, Statesboro, GA 30458 | 2014-10-08 |
| Find all providers in zip 30458 | ||||
| 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 |
|---|---|---|---|---|
| 1962973024 | Victoria Pettofrezzo | Physical Therapist | 1497 Fair Rd Ste 104, Statesboro, GA 30458-0822 | 2018-12-16 |
| 1467965996 | Gay Michelle Marasigan Ocenar | Physical Therapist | 1881 Ss Railroad Bed Rd Apt 101, Statesboro, GA 30461-8612 | 2017-11-06 |
| 1699290452 | Ellie Louise Miller | Physical Therapist | 840 Buckhead Dr Ste C, Statesboro, GA 30458-2752 | 2017-08-13 |
| 1821425059 | Latoya Dominique Forsythe | Physical Therapist | 11 E Grady Street, Apt F, Statesboro, GA 30458-0908 | 2013-10-02 |
| 1679837959 | Kathryn R Fogle | Physical Therapist | 16915 Hwy 67 South. Ste. A, Statesboro, GA 30458 | 2012-07-01 |
| 1376717819 | Bryan K. Sowell | Physical Therapist | 16915 Highway 67, Suite A, Statesboro, GA 30458-5819 | 2008-04-16 |
| 1427237585 | Mildred Nelson | Physical Therapist | 109 Gentilly Dr, Statesboro, GA 30458-5133 | 2007-10-25 |
| 1548313752 | Southern Wellness & Rehab | Physical Therapist | #2 Ed-moore, Statesboro, GA 30458 | 2007-01-19 |
| 1487748331 | Rodney T Gibson | Physical Therapist | 146 Northside Dr E, Statesboro, GA 30458-1096 | 2006-10-03 |
| 1407882657 | Robert Bryan Hugli | Physical Therapist | 23630 Us Highway 80 E # B, Statesboro, GA 30461-6019 | 2006-06-22 |
| Find all providers in STATESBORO | ||||
| City | STATESBORO |
| Zip Code | 30458 |
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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.