Michael Todd Bearden, DPT, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT017272 Issued in GA

Practice address

1519 13TH Ave
Columbus, GA 31901-1908

Phone

(706) 315-8175

Fax

(888) 337-2181

NPI assigned

Jul 23, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

P4 Physical Therapy Limited PartnershipGroup PAC ID 3779950647, 64 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• P4 Physical Therapy Limited Partnership

  • Physical Therapist
  • Lagrange, GA
  • NPI 1609570498
  Medicare reassignment Care Compare group NPD
• P4 Physical Therapy Limited Partnership

  • Durable Medical Equipment & Medical Supplies
  • Newnan, GA
  • NPI 1467228676

  Physical Therapist

  NPD

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

{
    "created_epoch": "1721692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723680000000",
    "number": "1407684236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 NARROWS PKWY STE D",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352428649",
            "telephone_number": "706-315-8175",
            "fax_number": "888-337-2181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1519 13TH AVE",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319011908",
            "telephone_number": "706-315-8175",
            "fax_number": "888-337-2181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEARDEN",
        "first_name": "MICHAEL",
        "middle_name": "TODD",
        "credential": "DPT, PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-07-23",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT017272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edward J Bayne, MD
• Chauntell Nate Beal
• Caitlyn A Beals, PA
• Timothy Ryan Beals, D.O.
• Zadah Beamon
• Alicia Bease
• Alicia Beasley
• Lekeshia Beasley
• Eleanor M Beason, MSW LCSW
• Jane Laster Beaty, PHYSICAL THERAPIST

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2024; 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.