SPORTS MEDICINE AND REHAB THERAPY, LLC (NPI# 1396079224) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396079224 |
| Entity Type | Organization |
| Organization Name | SPORTS MEDICINE AND REHAB THERAPY, LLC |
| Practice Address |
2003 Alice St Waycross GA 31501-6209 |
| Practice Telephone | 9122850053 |
| Mailing Telephone | 9122850053 |
| Enumeration Date | 2009-09-24 |
| Last Update Date | 2017-04-12 |
| Authorized Official Name | WALTER LEE BISHOP (MANAGER) |
| Authorized Official Telephone | 9122661452 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208100000X | Physical Medicine & Rehabilitation | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 390574913N | 05 |
| Street Address |
2003 ALICE ST |
| City | WAYCROSS |
| State | GA |
| Zip Code | 31501-6209 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346236155 | Randall Frederick O'brien | Specialist | 2003 Alice St, Suite A, Waycross, GA 31501-6209 | 2005-09-27 |
| 1265896484 | Georgia Anesthesia Medical Group, LLC | Nurse Anesthetist, Certified Registered | 2003 Alice St, Suite 2003b, Waycross, GA 31501-6209 | 2016-04-13 |
| 1720302292 | Bacon County Health Services, Inc. | Orthopaedic Surgery | 2003 Alice St, Ste A, Waycross, GA 31501-6209 | 2010-03-26 |
| 1194755447 | David P Murphy | Podiatrist | 2003 Alice St, Waycross, GA 31501-6209 | 2006-07-03 |
| 1720023237 | Institute for Corrective Surgery of The Foot & Ankle, Inc. | Clinic/Center | 2003 Alice St, Waycross, GA 31501-6209 | 2006-06-18 |
| 1609813229 | Walter Lee Bishop | Physical Therapist | 2003 Alice St, Waycross, GA 31501-6209 | 2006-06-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962906115 | Davenport Health Pa | Family Medicine | 1401 Cherokee Drive, Waycross, GA 31501 | 2018-03-22 |
| 1962940478 | Blake Darren Aldridge | Physical Therapy Assistant | 401 Preston Street, Waycross, GA 31501 | 2017-02-03 |
| 1669922142 | Jebediah S. Christy Dds - Waycross Pllc | Dentist | 2271 Memorial Dr, Waycross, GA 31501 | 2016-10-10 |
| 1558721944 | Jana Kirby | Massage Therapist | 1599 Knight Ave., Kallman Chiropractic Center, Waycross, GA 31501 | 2016-02-29 |
| 1962877001 | Courtney Baldwin | Specialist/Technologist, Other | 2403 Spurgeon St, Waycross, GA 31501 | 2015-12-01 |
| 1912389784 | Grayson Stuart Griffis | Dentist | 2103 Tebeau St., Waycross, GA 31501 | 2015-06-29 |
| 1730561267 | Trishla Amit Desai | Internal Medicine | Memorial Satilla Health, 1900 Tebeau Street, Waycross, GA 31501 | 2015-06-20 |
| 1316330913 | Hanger Prosthetics & Orthotics, Inc. | Prosthetic/Orthotic Supplier | 512 City Blvd Ste H, Waycross, GA 31501 | 2015-03-06 |
| 1942699079 | Jose Ramon Martinez | Anesthesiology | 701 City Blvd, Waycross, GA 31501 | 2015-01-13 |
| 1023356714 | Orthopedics Surgeons of Georgia, LLC | Orthopaedic Surgery | 2015 Alice Street, Waycross, GA 31501 | 2013-01-30 |
| Find all providers in zip 31501 | ||||
| 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 |
|---|---|---|---|---|
| 1366919383 | Heather Leigh Stewart | Physical Medicine & Rehabilitation | 1010 Mary St, Waycross, GA 31503-3849 | 2018-10-29 |
| 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 |
| 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 |
| 1295243756 | Seth Blaine Grover | Physical Medicine & Rehabilitation | 4039 Gateway Blvd Ste 102, Grovetown, GA 30813-3195 | 2018-01-18 |
| Find all providers with the same taxonomy | ||||
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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.