MR. JEDD ALAN THORDERSON PT
NPI 1972790822
Physical Therapist - Electrophysiology, Clinical in Valdosta, GA
NPI Status: Active since September 25, 2007
Contact Information
4340 KINGS WAY
VALDOSTA, GA
ZIP 31602
Phone: (229) 333-9736
- Individual
- Male
- Years of Experience 23
- Physical Therapist
- Electrophysiology, Clinical
- Accepts Medicare Approved Payment
About JEDD THORDERSON
This page provides the complete NPI Profile along with additional information for Jedd Thorderson, a provider established in Valdosta, Georgia with a medical specialization in Physical Therapist, focusing in electrophysiology, clinical and more than 23 years of experience. The healthcare provider is registered in the NPI registry with number 1972790822 assigned on September 2007. The practitioner's primary taxonomy code is 2251E1300X with license number PT007933 (GA). The provider is registered as an individual and his NPI record was last updated one year ago.
- NPI
- 1972790822
- Provider Name
- MR. JEDD ALAN THORDERSON PT
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 4340 KINGS WAY VALDOSTA, GA 31602
- Location Phone
- (229) 333-9736
- Mailing Address
- PO BOX 370 FORTSON, GA 31808
- Mailing Phone
- (706) 494-3171
- Medical School Name
- OTHER
- Graduation Year
- 2003
- Is Sole Proprietor?
- No
- Enumeration Date
- 09-25-2007
- Last Update Date
- 01-08-2025
- Code Navigator
Location Map
Secondary Locations
- 3437 Tupelo Commons Suite 102
Tupelo, MS 38804
(662) 680-3200 - 110 Professional Ct
Jesup, GA 31545
(912) 427-0800
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Physical Therapist Electrophysiology, Clinical
- Taxonomy Code
- 2251E1300X
- Type
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- License No.
- PT007933
- License State
- GA
- Taxonomy Description
- A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Clinical Electrophysiologic Physical Therapy, who has demonstrated specialized knowledge and skill in electrophysiologic examinations and evaluations and encompasses both the professional and technical components of the observation, recording, analysis, and interpretation of bioelectric muscle and nerve potentials, detected by means of surface or needle electrodes, for the purpose of evaluating the integrity of the neuromuscular system. Electrophysiologic evaluations include, but are not limited to, electrodiagnostic testing, which includes clinical needle electromyography, motor and sensory nerve conduction studies, and other evoked potential procedures.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 225100000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | PT007933 (GA) |
Medicare Participation & PECOS Enrollment Status
Jedd Thorderson is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
PECOS PAC ID: 7911997051
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20040512001242, I20240925002754, I20241105003956
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1972790822, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 68. The final step is to find the difference between that total and the next multiple of ten (70 - 68 = 2).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 68 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 11 providers are registered at the same or a nearby location.
VALDOSTA, GA 31602
VALDOSTA, GA 31602
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1972790822, enumerated as an "individual" on September 25, 2007.
The provider is located at 4340 KINGS WAY VALDOSTA, GA 31602 and the phone number is (229) 333-9736.
Physical Therapist with taxonomy code 2251E1300X and a focus in Electrophysiology, Clinical.
