WILLIAM J DEAREN (NPI# 1750388922) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750388922 |
| Entity Type | Individual |
| Full Name | WILLIAM J DEAREN |
| Credential | PT |
| Practice Address |
140 Lakes Blvd Suite C Kingsland GA 31548-6813 |
| Practice Telephone | 7068021991 |
| Practice Fax Number | 7068021408 |
| Mailing Telephone | 7068021991 |
| Mailing Fax Number | 7068021408 |
| Enumeration Date | 2005-07-04 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225100000X | Physical Therapist | PT17063 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 225100000X | Physical Therapist | PT005992 | GA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
140 LAKES BLVD SUITE C |
| City | KINGSLAND |
| State | GA |
| Zip Code | 31548-6813 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790051068 | Georgia Diane Messmer | Counselor | 140 Lakes Blvd, Suite 215, Kingsland, GA 31548-6813 | 2012-03-30 |
| 1194935890 | Stephanie Marie Stetter | Occupational Therapy Assistant | 140 Lakes Blvd, Kingsland, GA 31548-6813 | 2007-05-23 |
| 1932259926 | Rosemarie Panides Kaiser | Social Worker | 140 Lakes Blvd, Kingsland, GA 31548-6813 | 2007-01-11 |
| 1053318733 | Sara Lentz | Speech-Language Pathologist | 140 Lakes Blvd, Suite C, Kingsland, GA 31548-6813 | 2005-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356984611 | Shelby Nichole Gambill | Nurse Practitioner | 103 Lake Palms Dr, Kingsland, GA 31548 | 2019-10-18 |
| 1629536339 | The Behavior Placellc | Behavior Technician | 103 Johansen Way, Kingsland, GA 31548 | 2019-03-12 |
| 1588020234 | Keywanna Nichole Price | Nurse Practitioner | 571 Henrietta St, Kingsland, GA 31548 | 2016-01-11 |
| 1083086243 | Sorinity Support Services, LLC | Nurse's Aide | 801 Hwy 40 East Ste A-139, Kingsland, GA 31548 | 2015-10-28 |
| 1740661594 | Briana Gray | Family Medicine | 1375 E King Ave Ste B, Kingsland, GA 31548 | 2015-06-17 |
| 1649670530 | Kimberly Grande | Physical Therapist | 100 B Lindsey Lane, Kingsland, GA 31548 | 2014-08-27 |
| 1598044307 | Margaret Peek Powell | Counselor | 100 Mariners Dr. Suite D, Kingsland, GA 31548 | 2011-08-10 |
| 1376850545 | Heavenly Devine Blessing | Home Delivered Meals | 105 North Lee Street, Kingsland, GA 31548 | 2010-09-08 |
| 1053649657 | Melissa Anne White | Nurse Practitioner | 701 Charles Gilman Jr Ave Ste B, Kingsland, GA 31548 | 2009-11-20 |
| 1629203690 | Genevieve Matherne | Occupational Therapist | 100b Lindsey Lane, Kingsland, GA 31548 | 2009-05-20 |
| Find all providers in zip 31548 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477806230 | Adrienne Lee Vickers | Physical Therapist | 100 Lindsey Ln Ste B, Kingsland, GA 31548-6927 | 2012-10-18 |
| 1407949134 | Richard J Mckibben | Physical Therapist | 100 A Lindsey Lane, Kingsland, GA 31548-0000 | 2006-10-02 |
| 1942245741 | Shelby B Sweat | Physical Therapist | 100 Lindsey Ln # A, Kingsland, GA 31548-6850 | 2006-06-17 |
| 1073572277 | Marisa G Harvey | Physical Therapist | 1204 Hospitality Ave Ste E, Kingsland, GA 31548-6811 | 2006-03-17 |
| 1619367208 | Kendall Beyl | Physical Therapist | 100 Lindsey Ln # A, Kingsland, GA 31548-6850 | 2015-02-03 |
| 1396148748 | Michael J Janusko | Physical Therapist | 100 Lindsey Ln # A, Kingsland, GA 31548-6850 | 2014-09-30 |
| 1659770097 | Hannah Johnson | Physical Therapist | 100 Lindsey Ln # A, Kingsland, GA 31548-6850 | 2014-08-21 |
| 1558760249 | Elizabeth G Barnett | Physical Therapist | 100 Lindsey Ln Ste B, Kingsland, GA 31548-6927 | 2014-08-19 |
| 1508287988 | Haley Miner | Physical Therapist | 100 Lindsey Ln # A, Kingsland, GA 31548-6850 | 2014-01-02 |
| 1336426832 | Chad Nolan Oakley | Physical Therapist | 100 Lindsey Ln # A, Kingsland, GA 31548-6850 | 2011-11-11 |
| Find all providers in KINGSLAND | ||||
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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.