Individual provider Active NPI

Jonathan Matthew Hartzel, PT

  • Physical Therapist
  • Kennesaw, GA
National Provider Identifier
1326604257
Registry record updated Jul 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT012245 Issued in GA
Practice address
4381 Bells Ferry Rd NW
Kennesaw, GA 30144-1309
Phone
(724) 816-1800
Fax
(865) 951-7273
NPI assigned
May 16, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT012245 GA Primary

Addresses

Primary practice location

4381 Bells Ferry Rd NW
Kennesaw, GA 30144-1309

Mailing address

3243 Heritage Cir
Hendersonville, NC 28791-3553
Phone (828) 713-0560

Other practice location 1

1962 Eagle Dr
Woodstock, GA 30189-2338
Phone (724) 816-1800

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

LicenseStateTypeSpecialty
14243TNMDSocial Worker
PT012245GAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Total Therapy Services Physical Therapist PastSince Jul 25, 2019 Accepting new patients
The Weston Group Inc. Physical Therapist Past Accepting new patients
Remedy Behavioral Health, LLC PastSince Jan 23, 2020 Accepting new patients

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1557964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657929600000",
    "number": "1326604257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3243 HERITAGE CIR",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287913553",
            "telephone_number": "828-713-0560",
            "fax_number": "865-951-7273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4381 BELLS FERRY RD NW",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301441309",
            "telephone_number": "724-816-1800",
            "fax_number": "865-951-7273"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1962 Eagle Dr",
            "address_purpose": "LOCATION",
            "city": "Woodstock",
            "state": "GA",
            "postal_code": "301892338",
            "country_code": "US",
            "telephone_number": "724-816-1800",
            "fax_number": "865-951-7273",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARTZEL",
        "first_name": "JONATHAN",
        "middle_name": "MATTHEW",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-16",
        "last_updated": "2022-07-16",
        "certification_date": "2022-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT012245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennesaw, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2022; 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.