Bass Physical Therapy and Rehabilitation Center, Inc.
Organization Active NPI Rehabilitation Clinic/Center · Dublin, GA
NPI 1952383093 · NPPES record last updated May 3, 2013
Key facts
- NPI
- 1952383093
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Rehabilitation Clinic/Center 261QR0400X
- Legal business name
- BASS PHYSICAL THERAPY AND REHABILITATION CENTER, INC.
- Practice address
- 101 Fairview Park Dr
Dublin, GA 31021-2501 - Phone
- (478) 272-7494
- Fax
- (478) 272-2616
- NPI assigned
- Nov 15, 2005
- Organization subpart
- No
Authorized official
- Name
- Mr. Charles E Bass Jr., RPT
- Title
- President/Owner
- Phone
- (478) 272-7494
Practitioners 27
-
Janice K Adams, OTA
-
Leah S Bethea, COTA/L
-
Lisa Williamson Byers, MS, CCC-SLP
-
Deborah Calhoun, PTA
-
Colleen M Carter, MPT
-
Jeffery William Cook, MSPT
-
Whitney Bass Hobbs, DPT/ATC
-
Chelsea Kaye Hodges, PTA
-
Whitney Holmes, AT,PTA
-
Sabrina Ruth Honeywell, OTR/L
-
Tracy Oliver Lovett, RPT
-
Mikaela Mantele, PTA
-
Stephanie L Moody, ATC/L
-
Kayla L Murdaugh, LPTA
-
Katie C Nabb, ATC/L,CSCS
-
Macie Marie Newell, COTA/L
-
Dianne Bass Wages, M.ED, CCC-SLP
-
Sherry Lynn Wages, PTA
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070504000376 | GA | Part a Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services | 7416053632 | Practice locations: Dublin, GA; Wrightsville, GA |
National Provider Directory
Locations
101 Fairview Park Dr
Dublin, GA 31021
Phone (478) 272-7494
114 Victory Dr
Swainsboro, GA 30401
Phone (478) 237-4017
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Clinic/Center | 261QR0400X | Yes |
Addresses
Primary practice location
101 Fairview Park Dr
Dublin, GA 31021-2501
Mailing address
101 Fairview Park Dr
PO Box 883
Dublin, GA 31021-2501
Phone (478) 272-7494
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00282774B | Medicaid | GA |
Other providers in Dublin, GA
- Anthony Edward Barnes
- Brianne Michala Barnette
- Susan Elizabeth Barr
- Kimberly A Barwick
- Basking Shark Emergency Physicians LLC
- Charles Edward Bass Jr.
- Ayn Vincent Dejesus Bayani
- Susan C Beacham
- Carl O Bedingfield
- James Andrew Bedingfield Jr.
All providers in Dublin, GA · Rehabilitation Clinic/Center in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 3, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.