Haidee Bernades

Key facts

NPI

1366639338

Entity type

Individual (NPI type 1)

Primary specialty

Pediatric Physical Therapist 2251P0200X

License

PT004546 (GA)

Practice address

313 Wexford Dr
Hinesville, GA 31313-4470

Phone

(912) 877-0201

NPI assigned

Oct 3, 2007

Sex

Female

Sole proprietor

Yes

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

State licenses

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 3, 2007.

{
    "created_epoch": "1191369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191369600000",
    "number": "1366639338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 WEXFORD DR",
            "city": "HINESVILLE",
            "state": "GA",
            "postal_code": "313134470",
            "telephone_number": "912-877-0201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 WEXFORD DR",
            "city": "HINESVILLE",
            "state": "GA",
            "postal_code": "313134470",
            "telephone_number": "912-877-0201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERNADES",
        "first_name": "HAIDEE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-03",
        "last_updated": "2007-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "GA",
            "license": "PT004546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hinesville, GA

• Anna Bell
• Noah Bell
• Shonda Bellamy
• Deborah D Benefield, MASSAGE THERAPIST
• Lajuana Kim Bennett-Ruffin
• Kevin Lurrell Betton Sr., D.MIN
• Bilingual Speech Therapy
• Robert William Binford II, PHD
• Bio-Medical Applications of Georgia, Inc.
• Iiesha Black, LPC

All providers in Hinesville, GA · Pediatric Physical Therapist in Georgia