John Edward Kimes, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT001575 Issued in GA

Practice address

1601 Fair Rd
Suite 100
Statesboro, GA 30458-1698

Phone

(912) 681-7907

Fax

(912) 681-7860

NPI assigned

Jan 19, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Cotton Ridge Physical Therapy LLC

  • Physical Therapist
  • Statesboro, GA
  • NPI 1013956531
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1137628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1227571200000",
    "number": "1104806843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 W WACKER DR",
            "address_2": "SUITE 1020",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606061216",
            "telephone_number": "312-640-0329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 FAIR RD",
            "address_2": "SUITE 100",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304581698",
            "telephone_number": "912-681-7907",
            "fax_number": "912-681-7860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIMES",
        "first_name": "JOHN",
        "middle_name": "EDWARD",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-19",
        "last_updated": "2008-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT001575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Les J. Kicklighter, D.M.D.
• Kidz Therapies of Statesboro
• Noah Thomas Kilday, DC
• Killian Hill RX LLC
• Taylor Kimbrell
• Kinetic Healing
• Destiny Brooks King, MS, LPC,
• Thomas King, PHARMD
• Sibyl L. Kirkland, FNP-BC
• Kitching Chiropractic

• Physical Therapist in Statesboro, GA
• Providers in Statesboro, GA by specialty
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.