Individual provider Active NPI

Jonathan Adams, D.P.T.

  • Physical Therapist
  • Warner Robins, GA
National Provider Identifier
1780303669
Registry record updated Aug 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT01692 Issued in GA
Practice address
405 Osigian Blvd
Warner Robins, GA 31088-8958
Phone
(478) 953-3535
Fax
(478) 953-0353
NPI assigned
Aug 24, 2022
Last updated
Aug 24, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2022

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 PT01692 GA Primary

Addresses

Primary practice location

405 Osigian Blvd
Warner Robins, GA 31088-8958

Mailing address

405 Osigian Blvd
Warner Robins, GA 31088-8958
Phone (478) 953-3535

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220901003405 GA Practitioner - Physical Therapist in Private Practice 7517341951 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1117 Ga Hwy 96
Suite 112
Kathleen, GA 31047-2370
Phone (478) 352-0200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT01692GAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
The Cantrell Center for Physical Therapy and Sports Medicine, P.C. CurrentSince Aug 24, 2022 Accepting new patients
Georgialina Physical Therapy Associates LLC Physical Therapist CurrentSince Nov 15, 2025 Accepting new patients
Georgialina Physical Therapy Associates LLC Physical Therapist CurrentSince Nov 15, 2025 Accepting new patients

Locations

1229 Friendship Rd
#200
Braselton, GA 30517
Phone (770) 415-9792

1117 GA Highway 96
Ste 112
Kathleen, GA 31047
Phone (478) 352-0200

405 Osigian Blvd
Warner Robins, GA 31088
Phone (478) 953-3535

Interoperability endpoints

  • Direct secure messaging: jonathan.adams.p12@direct.athleticoltd.nextgenshare.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1661299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661299200000",
    "number": "1780303669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 OSIGIAN BLVD",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310888958",
            "telephone_number": "478-953-3535",
            "fax_number": "478-953-0353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 OSIGIAN BLVD",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310888958",
            "telephone_number": "478-953-3535",
            "fax_number": "478-953-0353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAMS",
        "first_name": "JONATHAN",
        "credential": "D.P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-24",
        "last_updated": "2022-08-24",
        "certification_date": "2022-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT01692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warner Robins, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2022; 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.

Verify at the official NPI Registry.