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

MS. Judith Dequera Hardman, PT

Individual provider Physical Therapist · NPI 1396919155

MS. Judith Dequera Hardman, PT is a Physical Therapist in Private Practice in Vidalia, Georgia. Qualified in 1998, 28 years ago. Practices with Restore Physical Therapy LLC, a 7-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
28
Licensed in
GA
In the registry since
2008
Specialties on file
2
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

401 E 1st St Ste B
Vidalia, GA 30474-4624
Phone: (912) 403-3300
Fax: (912) 209-0166
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 118 Azalea Rd Ste 11, Baxley, GA 31513-9197 — (912) 705-2855
  • 1305 North St E, Vidalia, GA 30474-8624 — (912) 537-4813

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT006119 (GA)
Physical Therapist Taxonomy 225100000X · Licence 006119 (GA)

Record details

NPI number1396919155
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedApril 14, 2008
Last updated in NPPESOctober 6, 2021
Certification dateOctober 6, 2021

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Group practice Restore Physical Therapy Llc — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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