Active NPI
Jose Ninow, PT
- Physical Therapist
- Dunwoody, GA
National Provider Identifier
1821167602
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT006327
- Practice address
- 5513 Chamblee Dunwoody Rd
Suite 430
Dunwoody, GA 30338-4106 - Phone
- (770) 551-9633
- NPI assigned
- Nov 7, 2006
- 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 | PT006327 | GA | Primary |
Addresses
Primary practice location
5513 Chamblee Dunwoody Rd
Suite 430
Dunwoody, GA 30338-4106
Mailing address
PO Box 518
Jonesboro, GA 30237-0518
Phone (770) 631-8277
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physiotherapy Associates Inc | Current | Accepting new patients | |
| Physiotherapy Associates Inc | Current | Accepting new patients | |
| Physiotherapy Associates | Physical Therapist | Past | Accepting new patients |
Locations
5513 Chamblee Dunwoody Rd
Ste 430
Dunwoody, GA 30338
Phone (770) 551-9633
966A Killian Hill Rd SW
Lilburn, GA 30047
Phone (770) 923-4815
24 E Crossville Rd
Ste 150
Roswell, GA 30075
Phone (678) 822-0721
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 and National Provider Directory roles.
-
- Physical Therapy Clinic/Center
- Lilburn, GA
- NPI 1760568257
-
- Physical Therapy Clinic/Center
- Estero, FL
- NPI 1720039902
-
- Physical Therapist
- Lithia Springs, GA
- NPI 1306905765
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1821167602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 518",
"city": "JONESBORO",
"state": "GA",
"postal_code": "302370518",
"telephone_number": "770-631-8277",
"fax_number": "770-631-9403"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5513 CHAMBLEE DUNWOODY RD",
"address_2": "SUITE 430",
"city": "DUNWOODY",
"state": "GA",
"postal_code": "303384106",
"telephone_number": "770-551-9633"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NINOW",
"first_name": "JOSE",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT006327",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dunwoody, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.