Ike Manning Kent, P.T.
Individual provider Active NPI Physical Therapist · Thomasville, GA
NPI 1144359043 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1144359043
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT004826 (GA)
- Practice address
- 212 West Hansell Street
Thomasville, GA 31792 - Phone
- (229) 228-8050
- Fax
- (229) 228-8594
- NPI assigned
- Mar 5, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT004826 | GA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brooks County Hospital | Past | Accepting new patients | |
| Brooks County Hospital | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT004826 | GA | Yes |
Addresses
Primary practice location
212 West Hansell Street
Thomasville, GA 31792
Mailing address
920 Cairo Rd
Thomasville, GA 31792-4255
Phone (229) 228-8800
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PT004826 | Other | GA | LICENSE |
Other providers in Thomasville, GA
- Alexis Nicole Katz
- Kayla E Kaufman
- Elizabeth Nicole Keen
- William R Kelso II
- Candice Jatoya Kemp
- Lazanda Kerbo
- Muhammad Ali Niaz Khan
- Orooj Bakht Khan
- Shoaib Khan
- Ethan Kim
All providers in Thomasville, GA · Physical Therapist in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.