Ike Manning Kent, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT004826 Issued in GA

Practice address

212 West Hansell Street
Thomasville, GA 31792

Phone

(229) 228-8050

Fax

(229) 228-8594

NPI assigned

Mar 5, 2007

Last updated

Jul 8, 2007By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Brooks County Hospital

  • Critical Access Hospital
  • Quitman, GA
  • NPI 1306890942
  NPD (past)
• Brooks County Hospital

  dba Brooks Medical Associates

  • Rural Health Clinic/Center
  • Quitman, GA
  • NPI 1922039833
  NPD (past)

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1144359043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 CAIRO RD",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317924255",
            "telephone_number": "229-228-8800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 WEST HANSELL STREET",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "31792",
            "telephone_number": "229-228-8050",
            "fax_number": "229-228-8594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENT",
        "first_name": "IKE",
        "middle_name": "MANNING",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT004826",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "PT004826",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexis Nicole Katz, DO
• Kayla E Kaufman
• Elizabeth Nicole Keen, MA
• William R Kelso II, M.D,
• Candice Jatoya Kemp, NP
• Lazanda Kerbo
• Muhammad Ali Niaz Khan, MBBS
• Orooj Bakht Khan, MD
• Shoaib Khan
• Ethan Kim, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.