MR. KEVIN A BRADT (NPI# 1861827602) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861827602 |
| Entity Type | Individual |
| Full Name | MR. KEVIN A BRADT |
| Credential | PT |
| Practice Address |
3708 Northside Drive Macon GA 31210 |
| Practice Telephone | 4782545303 |
| Practice Fax Number | 4782545324 |
| Mailing Telephone | 4782545303 |
| Mailing Fax Number | 4782545324 |
| Enumeration Date | 2013-09-12 |
| Last Update Date | 2013-09-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | PT011234 | GA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
3708 NORTHSIDE DRIVE |
| City | MACON |
| State | GA |
| Zip Code | 31210 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891737334 | Megan S Sapp | Occupational Therapist | 3708 Northside Drive, Macon, GA 31210 | 2006-06-11 |
| 1104240878 | Debra Lynn Allison | Physical Therapist | 3708 Northside Drive, Macon, GA 31210 | 2014-02-14 |
| 1043634017 | David Bruce | Physician Assistant | 3708 Northside Drive, Macon, GA 31210 | 2014-02-12 |
| 1770914434 | Trevor Harbin | Occupational Therapist | 3708 Northside Drive, Macon, GA 31210 | 2013-12-06 |
| 1508299181 | Jay T Rice | Specialist/Technologist | 3708 Northside Drive, Macon, GA 31210 | 2013-08-19 |
| 1760766059 | Stephen Chastain | Physical Therapy Assistant | 3708 Northside Drive, Macon, GA 31210 | 2011-10-05 |
| 1205002748 | Wayne Kelley Jr. | Orthopaedic Surgery | 3708 Northside Drive, Macon, GA 31210 | 2008-05-05 |
| 1902092372 | Dennis Kent Jorgensen | Orthopaedic Surgery | 3708 Northside Drive, Macon, GA 31210 | 2007-09-19 |
| 1902001670 | Holly P Gore | Nurse Practitioner | 3708 Northside Drive, Macon, GA 31210 | 2007-06-20 |
| 1356489850 | Macon Orthopaedic & Hand Center, Pa | Orthopaedic Surgery | 3708 Northside Drive, Macon, GA 31210 | 2007-02-05 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033743455 | Dana Elizabeth Toth | Nurse Practitioner | 5300 Bowman Rd, Macon, GA 31210 | 2020-02-25 |
| 1871124735 | Jessica Bello | Nurse Practitioner | 5300 Bowman Road, Macon, GA 31210 | 2020-01-30 |
| 1225505787 | Rebekah Hollinshead | Occupational Therapist | Therapy Specialists of Georgia, 4116 Arkwright Road, Macon, GA 31210 | 2018-11-01 |
| 1346744943 | Ace Medical Transport LLC. | Ambulance | 728 Gay Dr, Macon, GA 31210 | 2018-03-20 |
| 1972965226 | Omar Faruk Ahmad | Family Medicine | 3400 Riverside Drvie, Macon, GA 31210 | 2016-03-25 |
| 1083074868 | Macon Dentist Office, PC | Dentist | 206 Tom Hill Sr Blvd, Suite 106, Macon, GA 31210 | 2016-03-07 |
| 1992176952 | Kerisia Wasztyl | Marriage & Family Therapist | 4691 Pine Valley Dr, Macon, GA 31210 | 2015-10-15 |
| 1073905444 | Eunice Malave De Leon | Social Worker | 174 Spring St, Macon, GA 31210 | 2015-02-23 |
| 1396141545 | Axis Surgery Center LLC | Clinic/Center | 230 Sheraton Blvd, Ste B, Macon, GA 31210 | 2014-11-17 |
| 1073914115 | Monique Rechelle Delay Moore | Community/Behavioral Health | 646 Millrun Court, Macon, GA 31210 | 2014-09-09 |
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| 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 |
|---|---|---|---|---|
| 1952952103 | Natalie Slocumb | Physical Therapist | 4550 Arkwright Rd, Macon, GA 31210-1302 | 2019-09-27 |
| 1710473921 | R. Jason Kent Physical Therapy, LLC | Physical Therapist | 6010 Lakeside Commons Dr Ste D, Macon, GA 31210-5780 | 2018-07-11 |
| 1801388103 | Margaret Jayne Coddington | Physical Therapist | 5429 Bowman Rd Ste 140, Macon, GA 31210-8903 | 2018-06-01 |
| 1235648957 | Aegis Group Practice LLC | Physical Therapist | 300 Charter Blvd, Macon, GA 31210-4875 | 2017-09-26 |
| 1275061574 | Kasandra Grizzard Vanegas | Physical Therapist | 1014 Forsyth St # Street11, Macon, GA 31201-2051 | 2017-05-31 |
| 1306383773 | Tyler Belt | Physical Therapist | 1005 Overbrook Dr, Macon, MO 63552-2213 | 2017-01-24 |
| 1003287616 | Worldcare International Corporation | Physical Therapist | 4500 Billy Williamson Dr, Suite 9, Macon, GA 31206-8743 | 2015-10-08 |
| 1558760421 | Christy Andrews | Physical Therapist | 104 Yukon Rd, Macon, GA 31217-2112 | 2014-08-17 |
| 1881021228 | Anthony R Castro | Physical Therapist | 164 Summer Grove Ln, Macon, GA 31206-5234 | 2013-09-30 |
| 1316280589 | Emily Roe Estes Norris | Physical Therapist | 6010 Lakeside Commons Drive, Suite D, Macon, GA 31210 | 2013-04-05 |
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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.