Judie A. Dumelod, PT, CKTP, IMC, C/NDT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

002435 Issued in GA

Practice address

3351 Northside Dr
Macon, GA 31210-2587

Phone

(478) 474-4035

Fax

(478) 474-7713

NPI assigned

Dec 13, 2006

Last updated

Apr 1, 2014By 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 identifiers 5

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

• Worldcare International Corp.

  dba Kids in WaterLand

  • Physical Therapist
  • Macon, GA
  • NPI 1174689517
  NPD Authorized official
• Worldcare International Corporation

  dba Kids in Waterland

  • Physical Therapist
  • Macon, GA
  • NPI 1003287616
  NPD Authorized official
• Middle Georgia Family Rehab

  • Health Maintenance Organization
  • Byron, GA
  • NPI 1366844367
  NPD (past)

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396310400000",
    "number": "1285795831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 ASHVILLE CT",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312101669",
            "telephone_number": "478-474-4035",
            "fax_number": "478-474-7713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3351 NORTHSIDE DR",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312102587",
            "telephone_number": "478-474-4035",
            "fax_number": "478-474-7713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUMELOD",
        "first_name": "JUDIE",
        "middle_name": "A.",
        "name_prefix": "Mrs.",
        "credential": "PT, CKTP, IMC, C/NDT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-13",
        "last_updated": "2014-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "002435",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "537484753A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "193449608B",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "306817636A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000760702B",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "813105927A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Janelle Fabico Dulin, DDS
• Dumas Therapy
• Veronica Dumas-Dewberry, RN
• Jaquandralyn Antrel'Le Dumas, RBT
• Cesar A Dumelod, LMFT
• Jarrod Edward Dumpe, M.D.
• Amy Dunaway
• James Dunaway, MD
• Chiquita Duncan, RBT
• Myles Duncan

• Physical Therapist in Macon, GA
• Providers in Macon, 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 1, 2014; 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.