Lake Dow Physical Therapy, Inc.
NPI 1164690780ActiveOrganization· Physical Therapist· McDonough, GA
Physical Therapist in McDonough, Georgia, registered in NPPES in February 2008. The authorized official on file is Kimberley M. Jedding, DPT, CEAS, President.
Overview
| NPI | 1164690780 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 16, 2008 |
| Last updated in NPPES | Jun 17, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | PT006775 | GA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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