Kimberly Baxley, PHYSICAL THERAPIST

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT009671 Issued in GA

Practice address

922 S West St
Bainbridge, GA 39819-4581

Phone

(229) 248-8499

Fax

(229) 248-1595

NPI assigned

Apr 26, 2016

Last updated

Apr 26, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Kimberly Fender Former name

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

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 LLCGroup PAC ID 5193902518, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• L&K Chiropractic Services LLC

  • Preferred Provider Organization
  • Bainbridge, GA
  • NPI 1477784270
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1461628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461628800000",
    "number": "1245685387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "922 S WEST ST",
            "city": "BAINBRIDGE",
            "state": "GA",
            "postal_code": "398194581",
            "telephone_number": "229-248-8499",
            "fax_number": "229-248-1595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "922 S WEST ST",
            "city": "BAINBRIDGE",
            "state": "GA",
            "postal_code": "398194581",
            "telephone_number": "229-248-8499",
            "fax_number": "229-248-1595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAXLEY",
        "first_name": "KIMBERLY",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-26",
        "last_updated": "2016-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT009671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "FENDER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Bainbridge Pharmacy Inc.
• Bainbridge Pharmacy Inc.
• Bainbridge Vision Clinic Inc
• Ladonna M Bass
• Matikka Baulkman, RN
• Chris Beam, LPC
• David N. Beauchamp, DDS
• Andre Q Bell
• Anna Lewis Bell, SLP
• David Lee Breault, LPC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.