Active NPI
Dillon McDonald
- Orthopedic Physical Therapist
- Blairsville, GA
National Provider Identifier
1013737675
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- PT016068
- Practice address
- 376 Deep South Farm Rd
Blairsville, GA 30512-2218 - Phone
- (706) 439-6467
- NPI assigned
- Oct 16, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | PT016068 | GA | Primary |
Addresses
Primary practice location
376 Deep South Farm Rd
Blairsville, GA 30512-2218
Mailing address
376 Deep South Farm Rd
Blairsville, GA 30512-2218
Other practice location 1
376 Deep South Farm Rd
Blairsville, GA 30512-2218
Phone (706) 439-6464
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT016068 | GA | MD | Orthopedic Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1729036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729036800000",
"number": "1013737675",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "376 DEEP SOUTH FARM RD",
"city": "BLAIRSVILLE",
"state": "GA",
"postal_code": "305122218"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "376 DEEP SOUTH FARM RD",
"city": "BLAIRSVILLE",
"state": "GA",
"postal_code": "305122218",
"telephone_number": "706-439-6467"
}
],
"practiceLocations": [
{
"address_1": "376 Deep South Farm Rd",
"address_purpose": "LOCATION",
"city": "Blairsville",
"state": "GA",
"postal_code": "305122218",
"country_code": "US",
"telephone_number": "706-439-6464",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCDONALD",
"first_name": "DILLON",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-10-16",
"last_updated": "2024-10-16",
"certification_date": "2024-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "GA",
"license": "PT016068",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Blairsville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.