BONNIE BACZEWSKI (NPI# 1861931842) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861931842 |
| Entity Type | Individual |
| Full Name | BONNIE BACZEWSKI |
| Credential | PT, DPT |
| Practice Address |
1479 Grove Park Dr Columbus GA 31904-1585 |
| Mailing Address |
25309 Clearwater Dr Damascus MD 20872-2355 |
| Practice Telephone | 7065074460 |
| Mailing Telephone | 3012336584 |
| Enumeration Date | 2017-02-23 |
| Last Update Date | 2020-11-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208100000X | Physical Medicine & Rehabilitation | PT015004 | GA | Allopathic & Osteopathic Physicians |
| N | 225100000X | Physical Therapist | 2305210874 | VA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1479 GROVE PARK DR |
| City | COLUMBUS |
| State | GA |
| Zip Code | 31904-1585 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245887280 | Courtney Shallya Durham | Occupational Therapy Assistant | 1479 Grove Park Dr, Columbus, GA 31904 | 2019-08-23 |
| 1356994388 | Genesis Eldercare Rehabilitation Services LLC | Clinic/Center | 1479 Grove Park Dr, Columbus, GA 31904 | 2019-07-18 |
| 1760044069 | Kyra Davis | Physical Therapist | 1479 Grove Park Dr, Columbus, GA 31909 | 2019-07-08 |
| 1598267098 | El' Malik Chinn | Occupational Therapist | 1479 Grove Park Dr, Columbus, GA 31904-1585 | 2018-03-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821641457 | At Home Palliative Care, LLC | Nursing Care | 114 Enterprise Ct, Suite B, Columbus, GA 31904 | 2019-07-23 |
| 1285191049 | Shandra Ladell Grimes | Nurse Practitioner | 2300 Manchester Expwy St Francis Hospital, Suite C-001, Columbus, GA 31904 | 2019-02-27 |
| 1881161529 | Lesley Kathleen Simmons | Massage Therapist | 5402 15th Ave, Columbus, GA 31904 | 2018-10-31 |
| 1184190662 | Alphonsa Joseph | Nurse Practitioner | 2430 Brookstone Centre Parkway, Columbus, Georgia 31904, Columbus, GA 31904 | 2018-10-22 |
| 1568942704 | William Pearce Massey | Social Worker | 8851-1 Moore Road, Columbus, GA 31904 | 2018-08-17 |
| 1033696372 | Marlise V. Gray | Counselor | 2013 Devonshire Dr. Suite 115, Columbus, GA 31904 | 2018-07-19 |
| 1710418173 | Amanda Barnette Pruett | Behavioral Analyst | 200 Brookstone Centre Pkwy Bldg 200, Columbus, GA 31904 | 2017-03-27 |
| 1750833232 | Carrie Leigh Whitehead | Nurse Practitioner | 6228 Bradley Park Dr. Suite A, Columbus, GA 31904 | 2016-10-31 |
| 1609323369 | Shomika Lasha Battle | Registered Nurse | 2101 North Avenue, Columbus, GA 31904 | 2016-09-09 |
| 1952759219 | Peaceful River Home Care Agency | In Home Supportive Care | 738 Rudgate Road, Columbus, GA 31904 | 2016-05-27 |
| Find all providers in zip 31904 | ||||
| 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 |
|---|---|---|---|---|
| 1235736307 | Olivia Marie Shenberger | Physical Medicine & Rehabilitation | 243 S Monroe Ave, Columbus, OH 43205-1776 | 2020-10-02 |
| 1245846203 | Getachew Knee Clinic | Physical Medicine & Rehabilitation | 1050 Kingsmill Parkway, Unit B, Columbus, OH 43229-1143 | 2020-09-16 |
| 1891289062 | Krupa Komal Patel | Physical Medicine & Rehabilitation | 1833 Hard Rd, Columbus, OH 43235-5927 | 2018-06-20 |
| 1639318132 | Patricia E. Wongsam | Physical Medicine & Rehabilitation | 1747 Bryden Rd, Columbus, OH 43205-2221 | 2009-02-07 |
| 1235375957 | Jonathan Stewart Pedrick | Physical Medicine & Rehabilitation | 340 E Town St Ste 8-700, Columbus, OH 43215-4660 | 2008-12-30 |
| 1942422274 | Shelley K Boone | Physical Medicine & Rehabilitation | 1643 W Lane Ave, Columbus, OH 43221-3339 | 2007-05-03 |
| 1013138213 | Ruth Lyons-marcus | Physical Medicine & Rehabilitation | 23659 Columbus Rd Ste 3, Columbus, NJ 08022-1979 | 2007-05-02 |
| 1144357906 | Orthopaedic & Spine Center LLC | Physical Medicine & Rehabilitation | 1080 Polaris Parkway, Ste 200, Columbus, OH 43240 | 2007-02-28 |
| 1720003932 | Karen C Evans | Physical Medicine & Rehabilitation | 3555 Olentangy River Rd Ste 2001, Columbus, OH 43214-3910 | 2006-07-12 |
| 1326079252 | Edward Anthony Negovetich Jr. | Physical Medicine & Rehabilitation | 2400 Northpark Drive, Columbus, IN 47203 | 2006-07-06 |
| Find all providers in COLUMBUS | ||||
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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.