Jonathan Mace, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

5220 Park Ave Ste 201
Memphis, TN 38119-3549

Phone

(901) 683-9630

Fax

(901) 767-2663

NPI assigned

May 16, 2016

Sex

Male

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 4, 2019.

{
    "created_epoch": "1463356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570147200000",
    "number": "1043667553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 CRESCENT CENTRE DR STE 300",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370677285",
            "telephone_number": "615-373-1350",
            "fax_number": "615-221-9054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5220 PARK AVE STE 201",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381193549",
            "telephone_number": "901-683-9630",
            "fax_number": "901-767-2663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACE",
        "first_name": "JONATHAN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-16",
        "last_updated": "2019-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Mabry, APRN
• Julie Mabry, RDN
• Maria Teresa Macaraeg, D.D.S.
• Precious Ayodele Lana Macauley, M.D
• Charles Bruce Macdonald, MD
• Kelsey Aquadro Mace, MOT, OTR/L
• Douglas Merritt Macgaw, M.D.
• James E Machin, MD
• Mack Endodontics DDS P.C.
• Anya Marina Mack

• All providers in Memphis, TN
• Physical Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.