Michael David Jon

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2166086 Issued in TX

Practice address

22100 Bulverde Rd Ste 108
San Antonio, TX 78259-2187

Phone

(210) 910-4042

NPI assigned

Jul 11, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1657497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657497600000",
    "number": "1609500263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22100 BULVERDE RD STE 108",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782592187",
            "telephone_number": "210-910-4042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22100 BULVERDE RD STE 108",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782592187",
            "telephone_number": "210-910-4042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JON",
        "first_name": "MICHAEL",
        "middle_name": "DAVID",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-07-11",
        "last_updated": "2022-07-11",
        "certification_date": "2022-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2166086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Systems4Pt",
            "affiliation": "N",
            "endpointDescription": "EMR",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Retrieval of information",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Fax",
            "address_1": "22100 Bulverde Rd Ste 108",
            "city": "San Antonio",
            "state": "TX",
            "country_code": "US",
            "postal_code": "782592187",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Bailey Grace Joiner, RDH
• Jennifer L. Joiner, PNP
• Katherine Leigh Joiner
• Nicole Lynn Joiner, LPC
• Marion Louise Jolivette
• Leon T. Jonas, PA-C
• James William Jonatchick, CPNP
• Jonathan Goff Enterprises, Inc
• Jones Maltsberger ASC Inc
• Donai Jones Smith

• Physical Therapy Assistant in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Physical Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 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.