Active NPI
Jonathan Caleb Fields
- Physical Therapist
- Alpharetta, GA
National Provider Identifier
1174206189
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT016712
- Practice address
- 6225 Atlanta Hwy Ste 110
Alpharetta, GA 30004-8799 - Phone
- (770) 530-7394
- NPI assigned
- Aug 8, 2023
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT016712 | GA | Primary |
Addresses
Primary practice location
6225 Atlanta Hwy Ste 110
Alpharetta, GA 30004-8799
Mailing address
100 Rivermont Lane
Dahlonega, GA 30533
Phone (678) 524-1404
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT016712 | GA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1691452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691452800000",
"number": "1174206189",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 RIVERMONT LANE",
"city": "DAHLONEGA",
"state": "GA",
"postal_code": "30533",
"telephone_number": "678-524-1404"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6225 ATLANTA HWY STE 110",
"city": "ALPHARETTA",
"state": "GA",
"postal_code": "300048799",
"telephone_number": "770-530-7394"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FIELDS",
"first_name": "JONATHAN",
"middle_name": "CALEB",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-08-08",
"last_updated": "2023-08-08",
"certification_date": "2023-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT016712",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Alpharetta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.