MR. JEDD ALAN THORDERSON PT NPI 1972790822

NPI Information

  • NPI: 1972790822
  • Provider Name: MR. JEDD ALAN THORDERSON, PT
  • Classification: Physical Therapist - 2251E1300X
  • Specialization: Electrophysiology, Clinical
  • Entity Type: Individual
  • Address: 4340 KINGS WAY
    VALDOSTA, GA
    ZIP 31602
  • Phone: (229) 333-9736

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NPI Details

MR. Jedd Alan Thorderson, PT is an electrophysiology and clinical physical therapist in Valdosta, GA with 23 years of experience. The provider is 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. MR. Jedd Alan Thorderson, PT NPI is 1972790822. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4340 KINGS WAY
VALDOSTA, GA
ZIP 31602-921
Phone: (229) 333-9736

The enumeration date for this NPI number is 9/25/2007 and was last updated on 1/8/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1225100000XPhysical TherapistPT007933GEORGIANo
22251E1300XPhysical TherapistElectrophysiology, ClinicalPT007933GEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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