Aniefiok Udo Isen, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

8142 Issued in TN

Practice address

415 Town Park Blvd
Evans, GA 30809-3487

Phone

(706) 868-1707

NPI assigned

Jun 27, 2008

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 TN, NC, MA, VA4 enrollments

Enrollment records 4

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: aniefiok.isen.1@12239.direct.athenahealth.com

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.

• Mary Washington Healthcare Physicians

  • Family Medicine Physician
  • Fredericksburg, VA
  • NPI 1295999852

  Physical Therapist

  Medicare reassignment NPD
• Professional Physical Therapy & Sports Medicine, LLC

  • Physical Therapist
  • Franklin, MA
  • NPI 1427002831
  Medicare reassignment NPD
• Schuster Physical Therapy Inc.

  • Physical Therapy Clinic/Center
  • Jefferson, NC
  • NPI 1710388772
  Medicare reassignment NPD
• Southeastern Physical Therapy, LLC

  • Physical Therapist
  • Asheville, NC
  • NPI 1699791129
  Medicare reassignment NPD
• Larry H. Burks

  dba Putnam Physical Therapy Services

  • Physical Therapist
  • Cookeville, TN
  • NPI 1508931114
  NPD
• Mary Washington Healthcare Physicians

  • Durable Medical Equipment & Medical Supplies
  • Fredericksburg, VA
  • NPI 1740853035
  NPD
• Lake Oconee Rehabilitation and Performance Center, LLC

  • Physical Therapy Clinic/Center
  • Eatonton, GA
  • NPI 1649415217
  NPD (past)
• Andrews & Gant Therapy, LLC

  dba Results Physiotherapy

  • Physical Therapy Clinic/Center
  • Hendersonville, TN
  • NPI 1437187515
  NPD (past)
• Decatur ENT Associates P C

  • Facial Plastic Surgery Physician
  • Decatur, AL
  • NPI 1164487708
  NPD (past)
• Momentum Rehab, Inc.

  dba Momentum Physical Therapy

  • Physical Therapist
  • Nashville, TN
  • NPI 1689943532
  NPD (past)
• Sixfourthree, LLC

  dba Fairhope Physical Therapy Services

  • Exclusive Provider Organization
  • Huntsville, AL
  • NPI 1396781209
  NPD (past)

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

{
    "created_epoch": "1214524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715558400000",
    "number": "1578725933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 CRESCENT CENTRE DR STE 300",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370677285",
            "telephone_number": "615-373-1350",
            "fax_number": "615-221-9054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 TOWN PARK BLVD",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308093487",
            "telephone_number": "706-868-1707"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "150 Main St",
            "address_purpose": "LOCATION",
            "city": "Thomson",
            "state": "GA",
            "postal_code": "308242662",
            "country_code": "US",
            "telephone_number": "706-868-1707",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1001 Village Park Dr Ste 105",
            "address_purpose": "LOCATION",
            "city": "Greensboro",
            "state": "GA",
            "postal_code": "306425101",
            "country_code": "US",
            "telephone_number": "706-868-1707",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "117 Harmony Xing Ste 4",
            "address_purpose": "LOCATION",
            "city": "Eatonton",
            "state": "GA",
            "postal_code": "310249548",
            "country_code": "US",
            "telephone_number": "706-454-1811",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5003 Steiner Way Ste 2",
            "address_purpose": "LOCATION",
            "city": "Grovetown",
            "state": "GA",
            "postal_code": "308135018",
            "country_code": "US",
            "telephone_number": "706-868-1707",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2115 Windsor Spring Rd Ste 23",
            "address_purpose": "LOCATION",
            "city": "Augusta",
            "state": "GA",
            "postal_code": "309064883",
            "country_code": "US",
            "telephone_number": "706-860-5888",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ISEN",
        "first_name": "ANIEFIOK",
        "middle_name": "UDO",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-27",
        "last_updated": "2024-05-13",
        "certification_date": "2024-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "8142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Independence Care of Georgia LLC
• Independent Physical Therapy of Ga LLC
• Anita Inigez-Bouziane, LCSW-C
• Inspire ABA Services LLC
• Amy Iseman
• James Ivy, RBT
• J F Anesthesia LLC
• Alissa Katelyn Jacks
• Andrea Rolanda Jackson, PMHNP
• Andrew Boyd Jackson, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.