Active NPI
Jonathan O'Neal
- Physical Therapist
- Chattanooga, TN
National Provider Identifier
1699393330
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 12837
- Practice address
- 1736 Gunbarrel Rd Ste B
Chattanooga, TN 37421-3127 - Phone
- (423) 894-9893
- Fax
- (423) 894-0992
- NPI assigned
- Jul 9, 2020
- 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 | 12837 | TN | Primary |
Addresses
Primary practice location
1736 Gunbarrel Rd Ste B
Chattanooga, TN 37421-3127
Mailing address
PO Box 306393
Nashville, TN 37230-6393
Phone (615) 373-1350
Other practice location 1
3760 Ocoee Pl NW Ste 101
Cleveland, TN 37312-5637
Phone (423) 336-3795
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Agilitas USA, Inc | Past | Accepting new patients | |
| Chattanooga Spine & Sport | Physical Therapist | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Physical Therapy Clinic/Center
- Chattanooga, TN
- NPI 1194109025
-
- Physical Therapist
- Chattanooga, TN
- NPI 1700055977
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1594252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612483200000",
"number": "1699393330",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 306393",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372306393",
"telephone_number": "615-373-1350",
"fax_number": "615-373-7116"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1736 GUNBARREL RD STE B",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374213127",
"telephone_number": "423-894-9893",
"fax_number": "423-894-0992"
}
],
"practiceLocations": [
{
"address_1": "3760 Ocoee Pl NW Ste 101",
"address_purpose": "LOCATION",
"city": "Cleveland",
"state": "TN",
"postal_code": "373125637",
"country_code": "US",
"telephone_number": "423-336-3795",
"fax_number": "423-336-3796",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "O'NEAL",
"first_name": "JONATHAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-07-09",
"last_updated": "2021-02-05",
"certification_date": "2021-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TN",
"license": "12837",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chattanooga, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.