Active NPI
Jonathan E Gates, DPT
- Physical Therapist
- Jasper, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 296366
- Practice address
- 2604 Heritage Dr
Jasper, AL 35504-9306 - Phone
- (205) 435-0884
- NPI assigned
- Jun 7, 2018
- Last updated
- Mar 15, 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PTH8914 | AL | |
| Physical Therapist | 225100000X | PT5394 | NM | |
| Physical Therapist | 225100000X | 1305049 | TX | |
| Physical Therapist | 225100000X | 135715 | AK | |
| Physical Therapist | 225100000X | 296366 | CA | Primary |
Addresses
Primary practice location
2604 Heritage Dr
Jasper, AL 35504-9306
Mailing address
2604 Heritage Dr
Jasper, AL 35504-9306
Phone (205) 435-0884
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AK
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6383 Kenai Spur Hwy
Kenai, AK 99611-8302
Phone (907) 335-1155
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 135715 | AK | MD | Physical Therapist |
| PTH8914 | AL | MD | Physical Therapist |
| 296366 | CA | MD | Physical Therapist |
| PT5394 | NM | MD | Physical Therapist |
| 1305049 | TX | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Freedom Physical Therapy & Sports Rehabilitation, LLC | Physical Therapist | Current | Accepting new patients |
Locations
6383 Kenai Spur Hwy
Kenai, AK 99611
Phone (907) 260-8488
6415 Kenai Spur Hwy
Kenai, AK 99611
Phone (907) 335-1155
8513 NE Hazel Dell Ave
Ste 102
Vancouver, WA 98665
Phone (800) 594-8043
Organizations & group practices 1
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.
-
- Physical Therapist
- Kenai, AK
- NPI 1013318047
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1552608000000",
"number": "1346733169",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2604 HERITAGE DR",
"city": "JASPER",
"state": "AL",
"postal_code": "355049306",
"telephone_number": "205-435-0884"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2604 HERITAGE DR",
"city": "JASPER",
"state": "AL",
"postal_code": "355049306",
"telephone_number": "205-435-0884"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GATES",
"first_name": "JONATHAN",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-06-07",
"last_updated": "2019-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AL",
"license": "PTH8914",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NM",
"license": "PT5394",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1305049",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AK",
"license": "135715",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "296366",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jasper, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.