Individual provider Active NPI

Jason Jon Fritz, PT, DPT, PHD

  • Physical Therapist
  • Atlanta, GA
National Provider Identifier
1578088126
Registry record updated Oct 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT013065 Issued in GA
Practice address
3200 Downwood Cir NW Ste 350
Atlanta, GA 30327-1611
Phone
(404) 355-2913
Fax
(404) 351-1684
NPI assigned
Aug 4, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2021

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 PT013065 GA Primary

Addresses

Primary practice location

3200 Downwood Cir NW Ste 350
Atlanta, GA 30327-1611

Mailing address

2902 Northbrook Dr
Atlanta, GA 30340-4908
Phone (404) 326-1886

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241226003001 GA Practitioner - Physical Therapist in Private Practice 2264969526 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Matrix Rehabilitation-Georgia Inc CurrentSince Oct 1, 2024 Accepting new patients
Matrix Rehabilitation-Georgia Inc Past Accepting new patients

Locations

5255 Snapfinger Park Dr
Ste 130
Decatur, GA 30035
Phone (770) 322-7003

234 Jonesboro Rd
McDonough, GA 30253
Phone (770) 954-9631

Organizations & group practices 2

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": "1501804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634515200000",
    "number": "1578088126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2902 NORTHBROOK DR",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303404908",
            "telephone_number": "404-326-1886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 DOWNWOOD CIR NW STE 350",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303271611",
            "telephone_number": "404-355-2913",
            "fax_number": "404-351-1684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRITZ",
        "first_name": "JASON",
        "middle_name": "JON",
        "name_prefix": "Dr.",
        "credential": "PT, DPT, PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-04",
        "last_updated": "2021-10-18",
        "certification_date": "2021-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT013065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.