Judith Dequera Hardman, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT006119 Issued in GA

Practice address

401 E 1St St Ste B
Vidalia, GA 30474-4624

Phone

(912) 403-3300

Fax

(912) 209-0166

NPI assigned

Apr 14, 2008

Last updated

Oct 6, 2021By 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 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Restore Physical Therapy LLCGroup PAC ID 7810247848, 7 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

83.41 of 100Reported as group

Quality

80.42

Improvement activities

40

Cost

70.8

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.

• Restore Physical Therapy, LLC

  dba FYZICAL Therapy & Balance Center

  • Physical Therapist
  • Jesup, GA
  • NPI 1306331756
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1208131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633478400000",
    "number": "1396919155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "331 JAMES ST",
            "city": "VIDALIA",
            "state": "GA",
            "postal_code": "304745651",
            "telephone_number": "912-293-7252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 E 1ST ST STE B",
            "city": "VIDALIA",
            "state": "GA",
            "postal_code": "304744624",
            "telephone_number": "912-403-3300",
            "fax_number": "912-209-0166"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "118 Azalea Rd Ste 11",
            "address_purpose": "LOCATION",
            "city": "Baxley",
            "state": "GA",
            "postal_code": "315139197",
            "country_code": "US",
            "telephone_number": "912-705-2855",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1305 North St E",
            "address_purpose": "LOCATION",
            "city": "Vidalia",
            "state": "GA",
            "postal_code": "304748624",
            "country_code": "US",
            "telephone_number": "912-537-4813",
            "fax_number": "912-537-6238",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARDMAN",
        "first_name": "JUDITH",
        "middle_name": "DEQUERA",
        "name_prefix": "Ms.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-14",
        "last_updated": "2021-10-06",
        "certification_date": "2021-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT006119",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "006119",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "dequera.hardman@fyzical.com",
            "affiliation": "N",
            "address_1": "401 E 1st St Ste B",
            "city": "Vidalia",
            "state": "GA",
            "country_code": "US",
            "postal_code": "304744624",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Stewart A Hamilton, D.M.D.
• Carlis McKenley Hand Jr.
• Cindy Ellen Hand, NP
• Hanger Prosthetics & Orthotics Inc (Hanger Clinic)
• Terra Hardeman, FNP
• Daniel Tyler Harris, CRNA
• Daniel Hartley
• Latoya S. Harvey, OTRL
• Ciara Haugabrook, NP
• Health Care Equipment & Services

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.