Kimberley Jedding, DPT, CEAS

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT06775 Issued in GA

Practice address

1240 Eagles Landing Pkwy
Suite 300
Stockbridge, GA 30281-5170

Phone

(770) 506-4350

Fax

(770) 506-9860

NPI assigned

Nov 6, 2006

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 identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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.

• Lake Dow Physical Therapy, Inc.

  • Physical Therapist
  • McDonough, GA
  • NPI 1164690780
  NPD (past) Authorized official
• Excel Physical Therapy Inc

  • Physical Therapist
  • Hampton, GA
  • NPI 1154546471
  NPD (past)
• Performance Physical Therapy, PC

  • Physical Therapist
  • Stockbridge, GA
  • NPI 1033234745
  NPD (past)
• The Eyecare Place LLC

  • Optometrist
  • McDonough, GA
  • NPI 1861871725
  NPD (past)
• Human Performance and Rehabilitation Centers, Inc.

  • Occupational Therapist
  • Columbia, SC
  • NPI 1417029513

  Physical Therapist

  NPD (past)
• Orthoatlanta, LLC

  • Orthopaedic Surgery Physician
  • Aiken, SC
  • NPI 1427887157
  NPD (past)

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430697600000",
    "number": "1285713537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 CIRCLE 75 PKWY SE",
            "address_2": "SUITE 1700",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303393035",
            "telephone_number": "770-953-6929",
            "fax_number": "770-953-6972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1240 EAGLES LANDING PKWY",
            "address_2": "SUITE 300",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302815170",
            "telephone_number": "770-506-4350",
            "fax_number": "770-506-9860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEDDING",
        "first_name": "KIMBERLEY",
        "credential": "DPT, CEAS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-06",
        "last_updated": "2015-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT06775",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LISC NUMBER",
            "identifier": "PT006775",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Olga V. Jantzer, LCSW
• Japinstiute of Weaveology
• Jarobele Homecare LLC
• JDM Adams Personal Care Home
• Christopher James Jean-Louis, D.O.
• Verlicia Jefferson-Lane
• April Jefferson, LCSW
• Chrishanda Jenise Jenkins, FNP-C
• Loni Elise Jenkins, MD
• Ronald Christopher Jett II

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2015; 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.