BOBBY HOLCUMB III (NPI# 1881203958) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881203958 |
| Entity Type | Individual |
| Full Name | BOBBY HOLCUMB III |
| Practice Address |
3708 Northside Dr Macon GA 31210-2404 |
| Practice Telephone | 4787454206 |
| Enumeration Date | 2020-07-24 |
| Last Update Date | 2020-07-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225200000X | Physical Therapy Assistant | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
3708 NORTHSIDE DR |
| City | MACON |
| State | GA |
| Zip Code | 31210-2404 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245236744 | Edward Keith Grant | Physician Assistant | 3708 Northside Dr, Macon, GA 31210-2404 | 2005-06-21 |
| 1295333680 | Daniel Braschler | Physical Therapist | 3708 Northside Dr, Macon, GA 31210-2404 | 2020-10-16 |
| 1184240426 | Jenna Walton | Nurse Practitioner | 3708 Northside Dr, Macon, GA 31210-2404 | 2020-06-23 |
| 1710525886 | April Hancock | Physical Therapist | 3708 Northside Dr, Macon, GA 31210-2404 | 2019-12-19 |
| 1942856620 | Natalia Busuttil | Physical Therapist | 3708 Northside Dr, Macon, GA 31210-2404 | 2019-08-17 |
| 1689228918 | Cameron Tidwell | Nurse Practitioner | 3708 Northside Dr, Macon, GA 31210-2404 | 2019-07-25 |
| 1255892600 | Joshua Beagle | Physical Therapist | 3708 Northside Dr, Macon, GA 31210-2404 | 2019-03-28 |
| 1629536776 | Mayur Vishnubhai Patel | Physical Therapist | 3708 Northside Dr, Macon, GA 31210-2404 | 2019-03-07 |
| 1043776891 | Lauren Clark | Nurse Practitioner | 3708 Northside Dr, Macon, GA 31210-2404 | 2019-02-18 |
| 1770053837 | Tyler Steele | Physical Therapist | 3708 Northside Dr, Macon, GA 31210-2404 | 2018-12-03 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033743455 | Dana Elizabeth Toth | Nurse Practitioner | 5300 Bowman Rd, Macon, GA 31210 | 2020-02-25 |
| 1871124735 | Jessica Bello | Nurse Practitioner | 5300 Bowman Road, Macon, GA 31210 | 2020-01-30 |
| 1225505787 | Rebekah Hollinshead | Occupational Therapist | Therapy Specialists of Georgia, 4116 Arkwright Road, Macon, GA 31210 | 2018-11-01 |
| 1346744943 | Ace Medical Transport LLC. | Ambulance | 728 Gay Dr, Macon, GA 31210 | 2018-03-20 |
| 1972965226 | Omar Faruk Ahmad | Family Medicine | 3400 Riverside Drvie, Macon, GA 31210 | 2016-03-25 |
| 1083074868 | Macon Dentist Office, PC | Dentist | 206 Tom Hill Sr Blvd, Suite 106, Macon, GA 31210 | 2016-03-07 |
| 1992176952 | Kerisia Wasztyl | Marriage & Family Therapist | 4691 Pine Valley Dr, Macon, GA 31210 | 2015-10-15 |
| 1073905444 | Eunice Malave De Leon | Social Worker | 174 Spring St, Macon, GA 31210 | 2015-02-23 |
| 1396141545 | Axis Surgery Center LLC | Clinic/Center | 230 Sheraton Blvd, Ste B, Macon, GA 31210 | 2014-11-17 |
| 1073914115 | Monique Rechelle Delay Moore | Community/Behavioral Health | 646 Millrun Court, Macon, GA 31210 | 2014-09-09 |
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| Taxonomy Code | 225200000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapy Assistant |
| (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of the physical therapist assistant. The PTA performs physical therapy procedures and related tasks that have been selected and delegated by the supervising physical therapist. Duties of the PTA include assisting the physical therapist in implementing treatment programs, training patients in exercised and activities of daily living, conducting treatments, and reporting to the physical therapist on the patient’s responses. In addition to direct patient care, the PTA may also perform such functions as patient transport, and clinic or equipment preparation and maintenance. Currently more than half of all states require PTAs to be licensed, registered or certified. (2) An individual who works under the supervision of a physical therapist to assist him or her in providing physical therapy services. A physical therapy assistant may, for instance, help patients follow an appropriate exercise program that will increase their strength, endurance, coordination, and range of motion and train patients to perform activities of daily life. |
| Notes: Source: (1) American Physical Therapy Association, P.O. Box 37257, Washington, D.C. 20013. (2) 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 |
|---|---|---|---|---|
| 1801241492 | Sherry Fitzpatrick | Physical Therapy Assistant | 110 Yearwood Dr, Macon, GA 31206-5226 | 2016-05-02 |
| 1073746145 | Gayla E Wood | Physical Therapy Assistant | 2005 N Missouri St, Suite D, Macon, MO 63552-2164 | 2009-08-24 |
| 1053819649 | Traveus Ramon Garth | Physical Therapy Assistant | 78 Hospital Rd, Macon, MS 39341-2490 | 2018-01-29 |
| 1073861480 | Miles S Allen | Physical Therapy Assistant | 3708 Northside Dr, Macon, GA 31210-2404 | 2012-08-16 |
| 1760766059 | Stephen Chastain | Physical Therapy Assistant | 3708 Northside Drive, Macon, GA 31210 | 2011-10-05 |
| 1437455078 | Lee Hawkins Glover | Physical Therapy Assistant | 4523 Forsyth Rd, Macon, GA 31210-4527 | 2011-01-30 |
| 1558554592 | Karyn Leslie Walters | Physical Therapy Assistant | 29612 Kellogg Ave, Macon, MO 63552-3702 | 2007-08-23 |
| 1518978824 | Stacy L Hamlin | Physical Therapy Assistant | 3200 Riverside Dr, Suite 300-a, Macon, GA 31210-2550 | 2006-08-11 |
| 1619988995 | Amy M Tyler | Physical Therapy Assistant | 3200 Riverside Dr, Suite 300-a, Macon, GA 31210-2550 | 2006-08-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730787078 | Karen Welch | Physical Therapy Assistant | 7730 Wallace Tatum Rd, Cumming, GA 30028-7917 | 2020-10-09 |
| 1346857554 | Kaylea Kerr | Physical Therapy Assistant | 4450 Straight Gut Rd, La Fayette, GA 30728-6752 | 2020-09-30 |
| 1821605551 | Hannah Joy Hopkins | Physical Therapy Assistant | 600 Redmond Rd Nw Apt B6, Rome, GA 30165-1434 | 2020-09-27 |
| 1073129342 | Monique Allen | Physical Therapy Assistant | 203 S Lancaster St, Dublin, GA 31021-3423 | 2020-09-21 |
| 1376156117 | Melissa Massingale | Physical Therapy Assistant | 965 Piedmont Rd Ne Ste 200, Marietta, GA 30066-5493 | 2020-08-30 |
| 1821609835 | Shonta Monique Houston | Physical Therapy Assistant | 110 Link St Apt 3l, Hinesville, GA 31313-4430 | 2020-08-13 |
| 1376154740 | Marina Montgomery | Physical Therapy Assistant | 8930 River Landing Way, Sandy Springs, GA 30350-1620 | 2020-08-11 |
| 1780292557 | Jennifer Lynne Cicora | Physical Therapy Assistant | 775 Epps Bridge Pkwy, Athens, GA 30606-3350 | 2020-07-17 |
| 1184244907 | Chelsea Dick | Physical Therapy Assistant | 6659 Peachtree Industrial Blvd Ste I, Norcross, GA 30092-4300 | 2020-04-22 |
| 1467072769 | Jason Cardillo | Physical Therapy Assistant | 906 Grier St, Woodstock, GA 30189-7811 | 2020-04-16 |
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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.