NPIMap

Organization Active NPI

R. Jason Kent Physical Therapy, LLC

  • Physical Therapist
  • Locust Grove, GA
National Provider Identifier
1336622166
Registry record updated Sep 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
R. JASON KENT PHYSICAL THERAPY, LLC
Practice address
4861 Bill Gardner Pkwy
Locust Grove, GA 30248-3644
Phone
(470) 885-0880
Fax
(470) 885-0881
NPI assigned
Sep 7, 2018
Organization subpart
Yes
Parent organization
R. JASON KENT PHYSICAL THERAPY, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 16, 2020

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

Authorized official

Name
Emily Bentley Kent
Title
Managing Partner
Phone
(478) 333-3075

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225100000X Primary
Physical Therapy Clinic/Center 261QP2000X

Addresses

Primary practice location

4861 Bill Gardner Pkwy
Locust Grove, GA 30248-3644

Mailing address

150 Osigian Blvd Ste 300
Warner Robins, GA 31088-8978
Phone (478) 333-3075

National Provider Directory

National Provider Directory
Tax ID family
R Jason Kent Physical Thera3 organizations share this tax ID, including this one
Part of
R Jason Kent Physical Thera

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1536278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600214400000",
    "number": "1336622166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 OSIGIAN BLVD STE 300",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310888978",
            "telephone_number": "478-333-3075",
            "fax_number": "478-333-3484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4861 BILL GARDNER PKWY",
            "city": "LOCUST GROVE",
            "state": "GA",
            "postal_code": "302483644",
            "telephone_number": "470-885-0880",
            "fax_number": "470-885-0881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R. JASON KENT PHYSICAL THERAPY, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "R. JASON KENT PHYSICAL THERAPY, LLC",
        "enumeration_date": "2018-09-07",
        "last_updated": "2020-09-16",
        "certification_date": "2020-09-16",
        "status": "A",
        "authorized_official_last_name": "KENT",
        "authorized_official_first_name": "EMILY",
        "authorized_official_middle_name": "BENTLEY",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "478-333-3075"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Locust Grove, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2020; 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.