NPIMap

Organization Active NPI

BCD Rehab & Fitness, LLC

Doing business as Advent Therapy

  • Clinic/Center
  • Richmond Hill, GA
National Provider Identifier
1295117273
Registry record updated Jun 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
15058193 Issued in GA
Legal business name
BCD REHAB & FITNESS, LLC
Doing business as
Advent Therapy
Practice address
128 Frances Meeks Way Ste 5
Richmond Hill, GA 31324-3984
Phone
(912) 727-2321
NPI assigned
Jun 25, 2015
Last updated
Jun 25, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2015

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

Authorized official

Name
Dr. Jaclyn Meadows Deloach, PT, DPT, MS
Title
Physical Therapist, Owner
Phone
(912) 727-2321

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 15058193 GA Primary

Addresses

Primary practice location

128 Frances Meeks Way Ste 5
Richmond Hill, GA 31324-3984

Mailing address

128 Frances Meeks Way Ste 5
Richmond Hill, GA 31324-3984
Phone (912) 727-2321

Other names 1

  • Advent Therapy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151013002114 GA Part B Supplier - Clinic/Group Practice 1759690746 Receives reassigned benefits from 18 practitioners
Practice locations: Richmond Hill, GA

National Provider Directory

National Provider Directory

Locations

10144 Ford Ave
Richmond Hill, GA 31324
Phone (912) 727-2321

128 Frances Meeks Way
Ste 5
Richmond Hill, GA 31324
Phone (912) 445-2098

Practitioners & affiliated clinicians

Practitioners 23

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1435190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435190400000",
    "number": "1295117273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 FRANCES MEEKS WAY STE 5",
            "city": "RICHMOND HILL",
            "state": "GA",
            "postal_code": "313243984",
            "telephone_number": "912-727-2321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 FRANCES MEEKS WAY STE 5",
            "city": "RICHMOND HILL",
            "state": "GA",
            "postal_code": "313243984",
            "telephone_number": "912-727-2321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BCD REHAB & FITNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-25",
        "last_updated": "2015-06-25",
        "status": "A",
        "authorized_official_last_name": "DELOACH",
        "authorized_official_first_name": "JACLYN",
        "authorized_official_middle_name": "MEADOWS",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST, OWNER",
        "authorized_official_telephone_number": "912-727-2321",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT, MS"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "GA",
            "license": "15058193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advent Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Richmond Hill, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.