Individual provider Active NPI

Jennifer Lynn Bickimer, PT, DPT

  • Physical Therapist
  • Monroe, GA
National Provider Identifier
1497148282
Registry record updated Sep 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT014360 Issued in GA
Practice address
2120 W Spring St Ste 1600
Monroe, GA 30655
Phone
(678) 712-3686
Fax
(678) 712-3689
NPI assigned
Mar 18, 2015
Last updated
Sep 24, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2013028491 MO
Physical Therapist 225100000X PT014360 GA Primary
Physical Therapist 225100000X 11-05149 KS

Addresses

Primary practice location

2120 W Spring St Ste 1600
Monroe, GA 30655

Mailing address

6397 Lee Hwy Ste 300
Chattanooga, TN 37421-4915
Phone (423) 238-7217

Other practice location 1

10074 Woodland Dr
Lenexa, KS 66220-3802
Phone (913) 764-0389

Other practice location 2

10074 Woodland Dr
Lenexa, KS 66220-3802
Phone (913) 764-0389

Other practice location 3

1111 Lower Fayetteville Rd Ste 2000
Newnan, GA 30265-6506
Phone (770) 251-7284

Other names 1

  • Jennifer Lynn Shoemake Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, GA, TN, SC4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20150727000906 KS Practitioner - Physical Therapist in Private Practice 9638497654 Reassigns benefits to 2 organizations
I20191101000451 GA Practitioner - Physical Therapist in Private Practice 9638497654 Reassigns benefits to 1 organization
I20200409003431 TN Practitioner - Physical Therapist in Private Practice 9638497654 Reassigns benefits to 1 organization
I20210305001018 SC Practitioner - Physical Therapist in Private Practice 9638497654 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Washington University School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SLPT LLCGroup PAC ID 1254764350, 6 clinicians
LSCM LLCGroup PAC ID 1153757174, 9 clinicians

Practice addresses (Care Compare)

11036 Oakmont St
Overland Park, KS 66210-1100
Phone (913) 413-0012

15100 Metcalf Ave
Suite 102
Overland Park, KS 66223-2899
Phone (913) 681-7628

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10194SCMDProfessional Counselor
11-05149KSMDPhysical Therapist
2013028491MOMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
SLPT, LLC Physical Therapist CurrentSince Apr 26, 2021 Accepting new patients
Benchmark Physical Therapy, Inc CurrentSince Sep 20, 2019 Accepting new patients
Independent Physical Therapy, LLC Physical Therapist CurrentSince Apr 1, 2020 Accepting new patients
Drayer Physical Therapy - South Carolina, LLC Physical Therapist CurrentSince Nov 29, 2020 Accepting new patients
LSCM, LLC Physical Therapist CurrentSince Apr 26, 2021 Accepting new patients
Benchmark Health Services Physical Therapist CurrentSince Nov 29, 2020 Accepting new patients
Benchmark Physical Therapy, Inc Physical Therapist CurrentSince Sep 20, 2019 Accepting new patients
Benchmark Healthcare Services, LLC Physical Therapist CurrentSince Nov 29, 2020 Accepting new patients
Drayer Physical Therapy-South Carolina, LLC Physical Therapist CurrentSince Nov 29, 2020 Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

7130 Mount Zion Blvd
Ste 9
Jonesboro, GA 30236
Phone (770) 603-5660

1111 Lower Fayetteville Rd
Ste 2000
Newnan, GA 30265
Phone (770) 251-7284

10600 Mastin St
#B
Overland Park, KS 66212
Phone (913) 269-3232

11036 Oakmont St
Overland Park, KS 66210
Phone (913) 413-0012

15100 Metcalf Ave
Ste 102
Stanley, KS 66223
Phone (913) 681-0606

1000 Tanner Ford Blvd
Ste 370
Hanahan, SC 29410
Phone (843) 718-1058

386D Mark Cummings Rd
Ste 102
Hardeeville, SC 29927
Phone (843) 208-2272

7585 Saint Andrews Rd
Irmo, SC 29063
Phone (803) 749-5031

6397 Lee Hwy
Ste 300
Chattanooga, TN 37421
Phone (866) 518-0283

1202 N Charles G Seivers Blvd
Ste A
Clinton, TN 37716
Phone (865) 457-0192

8823 Production Ln
Ooltewah, TN 37363
Phone (423) 238-8930

1878 N Main St
Shelbyville, TN 37160
Phone (931) 680-9722

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1426636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569283200000",
    "number": "1497148282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6397 LEE HWY STE 300",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374214915",
            "telephone_number": "423-238-7217",
            "fax_number": "423-238-3473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2120 W SPRING ST STE 1600",
            "city": "MONROE",
            "state": "GA",
            "postal_code": "30655",
            "telephone_number": "678-712-3686",
            "fax_number": "678-712-3689"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10074 Woodland Dr",
            "address_purpose": "LOCATION",
            "city": "Lenexa",
            "state": "KS",
            "postal_code": "662203802",
            "country_code": "US",
            "telephone_number": "913-764-0389",
            "fax_number": "913-764-0391",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10074 Woodland Dr",
            "address_purpose": "LOCATION",
            "city": "Lenexa",
            "state": "KS",
            "postal_code": "662203802",
            "country_code": "US",
            "telephone_number": "913-764-0389",
            "fax_number": "913-764-0391",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1111 Lower Fayetteville Rd Ste 2000",
            "address_purpose": "LOCATION",
            "city": "Newnan",
            "state": "GA",
            "postal_code": "302656506",
            "country_code": "US",
            "telephone_number": "770-251-7284",
            "fax_number": "770-251-7295",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BICKIMER",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-18",
        "last_updated": "2019-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2013028491",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT014360",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "11-05149",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "SHOEMAKE",
            "middle_name": "LYNN",
            "credential": "PT, DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Monroe, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2019; 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.