Active NPI
Rachel Edenfield, PT
- Physical Therapist
- Hazlehurst, GA
National Provider Identifier
1417140690
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT007941
- Practice address
- 147 S Tallahassee St
Hazlehurst, GA 31539-6466 - Phone
- (912) 375-2009
- Fax
- (912) 379-0081
- NPI assigned
- Aug 22, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT007941 | GA | Primary |
Addresses
Primary practice location
147 S Tallahassee St
Hazlehurst, GA 31539-6466
Mailing address
PO Box 1005
Hazlehurst, GA 31539-1005
Phone (912) 375-2009
Other names 1
- Rachel Edenfield
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT007941 | GA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trinity Therapy Services Inc | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Rehabilitation Clinic/Center
- Hazlehurst, GA
- NPI 1184817462
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187740800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1187740800000",
"number": "1417140690",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1005",
"city": "HAZLEHURST",
"state": "GA",
"postal_code": "315391005",
"telephone_number": "912-375-2009",
"fax_number": "912-375-0081"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "147 S TALLAHASSEE ST",
"city": "HAZLEHURST",
"state": "GA",
"postal_code": "315396466",
"telephone_number": "912-375-2009",
"fax_number": "912-379-0081"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDENFIELD",
"first_name": "RACHEL",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-08-22",
"last_updated": "2007-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT007941",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "RACHEL",
"last_name": "EDENFIELD",
"credential": "PT",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Hazlehurst, GA
- Dr. Jason R Laney, PC (Laney Internal Medicine Group)
- Elizabeth Sha Duque, APRN
- DZH, Inc (Therapy Services of Georgia)
- East Georgia Healthcare Center, Inc.
- Megan Marchant East, SLP
- Ralph H Edwards Jr., LPC
- Elite Medical Associates, PC
- Family Healthcare Connections, PC
- Cassie Marlena Farmer
- Jessica L Finch, OTA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.