Marjorie Pomeroy Baker, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT010915 Issued in GA

Practice address

311 N Dawson St
Thomasville, GA 31792-5132

Phone

(334) 695-0993

Fax

(678) 298-5640

NPI assigned

Dec 31, 2012

Last updated

Feb 1, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Longleaf Physical Therapy, LLC.Group PAC ID 9931576972, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Longleaf Physical Therapy, LLC.

  • Physical Therapist
  • Thomasville, GA
  • NPI 1346962701
  Medicare reassignment Care Compare group Authorized official
• Big Oak Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • Thomasville, GA
  • NPI 1225434053
  Medicare reassignment NPD
• The Fix, LLC

  dba The Fix

  • Clinic/Center
  • Blairsville, GA
  • NPI 1477275808
  NPD (past)

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

{
    "created_epoch": "1356912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675209600000",
    "number": "1578809174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1510 MILLPOND RD",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317927407",
            "telephone_number": "334-695-0993",
            "fax_number": "678-298-5640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 N DAWSON ST",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317925132",
            "telephone_number": "334-695-0993",
            "fax_number": "678-298-5640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "MARJORIE",
        "middle_name": "POMEROY",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-12-31",
        "last_updated": "2023-02-01",
        "certification_date": "2023-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT010915",
            "primary": true
        },
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "GA",
            "license": "PT010915",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003183884A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Baggett
• Grover L. Bailey, PHD
• Michael Scott Bailey, LMSW
• Benjamin Barroga Bailon, M.D.
• Charles Baker, PHYSICIAN ASSISTANCE
• Megan Baldwin, LMSW
• Melanie Jai Balfour, ARNP
• Prashant Baliga, M.D.
• William Abner Ball, D.C.
• Karen A Banks

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2023; 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.