Charles Edward Bass Jr., RPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1787 Issued in GA

Practice address

101 Fairview Park Dr
Dublin, GA 31021-2501

Phone

(478) 272-7494

Fax

(478) 272-2616

NPI assigned

Jan 30, 2006

Last updated

Jun 29, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Bass Physical Therapy and Rehabilitation Center Inc

  • Rehabilitation Clinic/Center
  • Swainsboro, GA
  • NPI 1942347687
  NPD Authorized official
• Bass Physical Therapy and Rehabilitation Center, Inc.

  • Rehabilitation Clinic/Center
  • Dublin, GA
  • NPI 1952383093
  NPD Authorized official

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

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687996800000",
    "number": "1295706117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 883",
            "city": "DUBLIN",
            "state": "GA",
            "postal_code": "310400883",
            "telephone_number": "478-272-7494",
            "fax_number": "478-272-2616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 FAIRVIEW PARK DR",
            "city": "DUBLIN",
            "state": "GA",
            "postal_code": "310212501",
            "telephone_number": "478-272-7494",
            "fax_number": "478-272-2616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASS",
        "first_name": "CHARLES",
        "middle_name": "EDWARD",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "RPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-30",
        "last_updated": "2023-06-29",
        "certification_date": "2023-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "1787",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000562504C",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000562594F",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brianne Michala Barnette, REGISTERED NURSE
• Susan Elizabeth Barr, RPH, BSPH
• Kimberly A Barwick, R.PH.
• Basking Shark Emergency Physicians LLC
• Bass Physical Therapy and Rehabilitation Center, Inc.
• Ayn Vincent Dejesus Bayani, M.D.
• Susan C Beacham, RN-BSN
• Carl O Bedingfield, M.D.
• James Andrew Bedingfield Jr., MD
• Hope Bedoya, RBT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2023; 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.