Jonathan Michael Gill, DPT, CSCS

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT012867 Issued in GA

Practice address

3827 Jimmy Lee Smith Pkwy # 22
Hiram, GA 30141-2804

Phone

(770) 943-1142

NPI assigned

Jun 1, 2017

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• PT Solutions of Acworth, LLC

  • Physical Therapist
  • Dallas, GA
  • NPI 1891161352
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1496275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1502064000000",
    "number": "1083142178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4501 CHELTON CT SE",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300806930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3827 JIMMY LEE SMITH PKWY # 22",
            "city": "HIRAM",
            "state": "GA",
            "postal_code": "301412804",
            "telephone_number": "770-943-1142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILL",
        "first_name": "JONATHAN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DPT, CSCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-01",
        "last_updated": "2017-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT012867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Georgia CVS Pharmacy LLC
• Georgia Pain and Spine Solutions, PC
• Georgian Counseling Associates
• Get - Well Medical Supply
• David Charles Gibson, DO
• Go Forth Staffing Inc
• William Serafin Gonzalez, R.PH.
• Carl Goolsby Jr., MD
• William Marcus Gordon
• David Gose, MD

• Physical Therapist in Hiram, GA
• Providers in Hiram, GA by specialty
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2017; 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.