Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jedera Nwoke, RBT, PT

Individual provider Behavior Technician · NPI 1356933949

Jedera Nwoke, RBT, PT is a Physical Therapist in Private Practice in Macon, Georgia. Qualified in 2024, 2 years ago. Practices with Independent Physical Therapy of Georgia LLC, a 529-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
2
Licensed in
GA
In the registry since
2021
Specialties on file
2
What do these letters mean?
RBT — Registered Behavior Technician
Delivers behaviour therapy under a behaviour analyst's supervision.
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

5429 Bowman Rd Ste 140
Macon, GA 31210-8903
Phone: (478) 219-9673
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4000 Smithtown Rd Ste 200, Suwanee, GA 30024-6560 — (470) 632-4990

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT017500 (GA)
Behavior Technician Taxonomy 106S00000X · Licence RBT-21-154586 (GA)

Record details

NPI number1356933949
Entity typeIndividual (Type 1)
GenderFemale
Credentials RBT , PT
Sole proprietorNo
NPI enumeratedFebruary 5, 2021
Last updated in NPPESNovember 26, 2024
Certification dateNovember 26, 2024
Mailing address1200 Corporate Dr Ste 400, Hoover, AL 35242-5424

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Independent Physical Therapy Of Georgia Llc — 529 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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