Active NPI
Joshua Nolan Bloodworth, PT, DPT
- Physical Therapist
- Athens, GA
National Provider Identifier
1982216610
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT014673
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
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 100
- Quality
- 91.8
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT014673 | GA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therapy South Athens LLC | Physical Therapist | Current | 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.
-
- Physical Therapist
- Athens, GA
- NPI 1740696764
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.