Individual provider Active NPI

Joshua Nolan Bloodworth, PT, DPT

  • Physical Therapist
  • Athens, GA
National Provider Identifier
1982216610
Registry record updated Aug 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT014673 Issued in GA
Practice address
2319 Prince Ave
Athens, GA 30606-6030
Phone
(706) 425-8888
NPI assigned
Aug 24, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT014673 GA Primary

Addresses

Primary practice location

2319 Prince Ave
Athens, GA 30606-6030

Mailing address

1201 Dunleaf Arc Way
Norcross, GA 30093-3235
Phone (478) 919-6352

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200913000020 GA Practitioner - Physical Therapist in Private Practice 0547688269 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Mercer University School of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Therapy South Athens LLCGroup PAC ID 8426277401, 3 clinicians

Practice addresses (Care Compare)

2319 Prince Ave
Athens, GA 30606-6030
Phone (706) 425-8888

Merit-based Incentive Payment System (MIPS)

Final score
95.9 of 100Reported as individual
Quality
91.8
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT014673GAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy South Athens LLC Physical Therapist CurrentSince Aug 25, 2020 Accepting new patients

Locations

2823 Greystone Commercial Blvd
Hoover, AL 35242
Phone (205) 408-1713

2319 Prince Ave
Athens, GA 30606
Phone (706) 354-1625

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1598227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598227200000",
    "number": "1982216610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 DUNLEAF ARC WAY",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300933235",
            "telephone_number": "478-919-6352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2319 PRINCE AVE",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306066030",
            "telephone_number": "706-425-8888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOODWORTH",
        "first_name": "JOSHUA",
        "middle_name": "NOLAN",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-24",
        "last_updated": "2020-08-24",
        "certification_date": "2020-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT014673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2020; 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.