Alden M Bass, PT, DPT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

PT016326 Issued in GA

Practice address

5108 Northwind Blvd
Valdosta, GA 31605-7672

Phone

(229) 244-1201

NPI assigned

Nov 3, 2022

Sex

Female

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, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sutherland Physical Therapy IncGroup PAC ID 0042315582, 6 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.

• Sutherland Physical Therapy, Inc.

  • Pediatric Physical Therapist
  • Valdosta, GA
  • NPI 1689730319
  Medicare reassignment Care Compare group NPD
• Valdosta Health & Wellness Clinic Inc

  • Adult Health Nurse Practitioner
  • Valdosta, GA
  • NPI 1366840258
  NPD (past)

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

{
    "created_epoch": "1667433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667433600000",
    "number": "1558078923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5108 NORTHWIND BLVD",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316057672",
            "telephone_number": "229-244-1201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5108 NORTHWIND BLVD",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316057672",
            "telephone_number": "229-244-1201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASS",
        "first_name": "ALDEN",
        "middle_name": "M",
        "name_prefix": "Miss",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-03",
        "last_updated": "2022-11-03",
        "certification_date": "2022-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "GA",
            "license": "PT016326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bianca Barton
• Joanna Barton, OT R/L
• William Barton, RBT
• Abbie Baskin
• Iyana Rene' Bass McCain, LPC
• Haley Shae Bassett, CCC-SLP
• Megan Bassford
• Sherry Bates
• Joshua Batson, NP-C
• Kirsten Battles, M.D.

• Orthopedic Physical Therapist in Valdosta, GA
• Providers in Valdosta, GA by specialty
• Orthopedic Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2022; 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.