Active NPI
Jonathan Matthew Hartzel, PT
- Physical Therapist
- Kennesaw, GA
National Provider Identifier
1326604257
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT012245
- 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
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 | 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
| License | State | Type | Specialty |
|---|---|---|---|
| 14243 | TN | MD | Social Worker |
| PT012245 | GA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Total Therapy Services | Physical Therapist | Past | Accepting new patients |
| The Weston Group Inc. | Physical Therapist | Past | Accepting new patients |
| Remedy Behavioral Health, LLC | Past | 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.
-
dba Remedy Behavioral Health
- Psychiatry Physician
- Florence, AL
- NPI 1013517317
-
- Physical Therapist
- Easton, PA
- NPI 1750250759
-
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- Simpsonville, SC
- NPI 1114570264
Physical Therapist
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.