Kimberly Baxley, PHYSICAL THERAPIST
Individual provider Active NPI Physical Therapist · Bainbridge, GA
NPI 1245685387 · NPPES record last updated Apr 26, 2016
Key facts
- NPI
- 1245685387
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT009671 (GA)
- Practice address
- 922 S West St
Bainbridge, GA 39819-4581 - Phone
- (229) 248-8499
- Fax
- (229) 248-1595
- NPI assigned
- Apr 26, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Landk Chiropractic Services LLC
Practice addresses (Care Compare)
922 S W St
Bainbridge, GA 39819-4581
Phone (229) 248-8499
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160719001378 | GA | Practitioner - Physical Therapist in Private Practice | 8224321997 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| L&K Chiropractic Services LLC | Current |
Accepting new patients |
Locations
922 S West St
Bainbridge, GA 39819
Phone (229) 248-8499
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT009671 | GA | Yes |
Addresses
Primary practice location
922 S West St
Bainbridge, GA 39819-4581
Mailing address
922 S West St
Bainbridge, GA 39819-4581
Phone (229) 248-8499
Other names
- Kimberly Fender
Other providers in Bainbridge, GA
- Bainbridge Pharmacy Inc.
- Bainbridge Pharmacy Inc.
- Bainbridge Vision Clinic Inc
- Ladonna M Bass
- Matikka Baulkman
- Chris Beam
- David N. Beauchamp
- Andre Q Bell
- David Lee Breault
- Bridge Behavior Consulting LLC
All providers in Bainbridge, 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 Apr 26, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.