BRANDON MICHAEL DEFEO (NPI# 1124331871) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124331871 |
| Entity Type | Individual |
| Full Name | BRANDON MICHAEL DEFEO |
| Credential | DPT |
| Practice Address |
1499 Fair Rd Statesboro GA 30458-1683 |
| Mailing Address |
128 Stonebrook Way Statesboro GA 30458-0286 |
| Practice Telephone | 9124861680 |
| Practice Fax Number | 9124861680 |
| Mailing Telephone | 9125155821 |
| Mailing Fax Number | 9123512385 |
| Enumeration Date | 2010-07-23 |
| Last Update Date | 2013-07-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208100000X | Physical Medicine & Rehabilitation | PT010013 | GA | Allopathic & Osteopathic Physicians |
| Street Address |
1499 FAIR RD |
| City | STATESBORO |
| State | GA |
| Zip Code | 30458-1683 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205839024 | Eric M Chand | Pathology | 1499 Fair Rd, Statesboro, GA 30458-1683 | 2005-05-24 |
| 1174146187 | Trevor Weathersby | Nurse Anesthetist, Certified Registered | 1499 Fair Rd, Statesboro, GA 30458-1683 | 2020-05-26 |
| 1689205593 | Tiara Leonna Bradley | Nurse Practitioner | 1499 Fair Rd, Statesboro, GA 30458-1683 | 2020-01-29 |
| 1619493517 | Cody Robert Ward | Physician Assistant | 1499 Fair Rd, Statesboro, GA 30458-1683 | 2017-08-22 |
| 1316467467 | Stephanie Lindamood | Nurse Practitioner | 1499 Fair Rd, Statesboro, GA 30458-1683 | 2017-06-20 |
| 1386010478 | Wendy Futch | Nurse Practitioner | 1499 Fair Rd, Statesboro, GA 30458-1683 | 2015-08-12 |
| 1134524036 | Tristia Knight | Nurse Practitioner | 1499 Fair Rd, Statesboro, GA 30458-1683 | 2014-11-04 |
| 1871930578 | Jennifer L Roberson | Physical Therapy Assistant | 1499 Fair Rd, Statesboro, GA 30458-1683 | 2013-06-04 |
| 1396182184 | Jenna Raye Bazemore | Physical Therapist | 1499 Fair Rd, Statesboro, GA 30458-1683 | 2013-06-03 |
| 1346687191 | Janet C Shaw | Speech-Language Pathologist | 1499 Fair Rd, Statesboro, GA 30458-1683 | 2013-06-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639642218 | Youtherapy | Counselor | 430 Northside Dr East, Suite 160 Mb326, Statesboro, GA 30458 | 2019-01-07 |
| 1053891853 | Alexandria Franklin | Specialist/Technologist | 1332 Southern Dr, Statesboro, GA 30458 | 2018-08-21 |
| 1740780006 | Michael Ryan Clark | Pharmacist | 556 Northside Drive, Statesboro, GA 30458 | 2018-02-13 |
| 1689186405 | Chandler James Herman | Specialist/Technologist | 590 Herty Dr., Statesboro, GA 30458 | 2017-11-02 |
| 1477009181 | Mama Doc Pediatrics, LLC | Pediatrics | 400 East Grady Street, Statesboro, GA 30458 | 2016-09-01 |
| 1053761171 | Rebekah Roessler | Specialist/Technologist | 2687 Akins Blvd, Statesboro, GA 30458 | 2016-06-20 |
| 1427412253 | Refocus Counseling and Consulting Services | Community/Behavioral Health | 4325 Country Club, 4, Statesboro, GA 30458 | 2016-04-07 |
| 1023408523 | Kacy H. Nesmith | Nurse Practitioner | 1098 Bermuda Run, Suite 6, Statesboro, GA 30458 | 2015-02-04 |
| 1760870398 | Jessica Pasternack | Specialist/Technologist | 2687 Akins Boulevard, Statesboro, GA 30458 | 2015-01-06 |
| 1922401629 | Nathan D'amico | Student in an Organized Health Care Education/Training Program | 15 W Grady Street Unit A, Statesboro, GA 30458 | 2014-10-08 |
| Find all providers in zip 30458 | ||||
| Taxonomy Code | 208100000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. American Osteopathic Board of Physical Medicine and Rehabilitation, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Physical Medicine and Rehabilitation. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225647274 | L&d Medical Center, LLC | Physical Medicine & Rehabilitation | 5041 Dallas Hwy Ste G, Powder Springs, GA 30127-6458 | 2020-07-27 |
| 1184262651 | Optimal Joint & Neurorehab LLC | Physical Medicine & Rehabilitation | 4245 Deercrest Dr, Valdosta, GA 31602-7612 | 2019-12-16 |
| 1972147379 | Ortho Sport & Spine Physicians Albany | Physical Medicine & Rehabilitation | 614 N Westover Blvd, Albany, GA 31707-2187 | 2019-10-30 |
| 1093359382 | Atlanta Innovative Medicine, LLC | Physical Medicine & Rehabilitation | 8460 Holcomb Bridge Rd Ste 200, Alpharetta, GA 30022-6868 | 2019-10-30 |
| 1770054561 | Sarah Elizabeth Brooks | Physical Medicine & Rehabilitation | 1290 Milstead Ave Ne, Conyers, GA 30012 | 2018-12-06 |
| 1366919383 | Heather Leigh Stewart | Physical Medicine & Rehabilitation | 1010 Mary St, Waycross, GA 31503-3849 | 2018-10-29 |
| 1356827869 | Rehab and Beyond, Inc. | Physical Medicine & Rehabilitation | 2197 Young Rd, Stone Mountain, GA 30088-4107 | 2018-07-17 |
| 1346735982 | Xyz Medical | Physical Medicine & Rehabilitation | 9 Russell Dr Ste 201, Ellijay, GA 30540-5573 | 2018-06-26 |
| 1962991703 | Southern Healthcare Alliance, LLC | Physical Medicine & Rehabilitation | 101-f W. Northside Drive, Valdosta, GA 31602 | 2018-05-08 |
| 1053819854 | Orthoatlanta, LLC | Physical Medicine & Rehabilitation | 455 Legends Pl Se Ste 890, Atlanta, GA 30339-4245 | 2018-01-26 |
| Find all providers with the same taxonomy | ||||
| City | STATESBORO |
| Zip Code | 30458 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.