Active NPI
Jonathan David Hardy, PT
- Physical Therapist
- Conyers, GA
National Provider Identifier
1841703691
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT016761
- Practice address
- 1315 Milstead Rd NE
Conyers, GA 30012-3824 - Phone
- (470) 545-0860
- NPI assigned
- Nov 14, 2017
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PTH10496 | AL | |
| Athletic Trainer | 2255A2300X | |||
| Physical Therapist | 225100000X | PT016761 | GA | Primary |
Addresses
Primary practice location
1315 Milstead Rd NE
Conyers, GA 30012-3824
Mailing address
2100 W Iris Dr SE Apt B1104
Conyers, GA 30013-1912
Phone (256) 496-4955
Other practice location 1
1711 College Ave
Jackson, AL 36545-2425
Phone (512) 465-7612
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 82.85 of 100
- Quality
- 85.59
- Improvement activities
- 40
- Cost
- 69.27
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTH10496 | AL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1510617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1700438400000",
"number": "1841703691",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2100 W IRIS DR SE APT B1104",
"city": "CONYERS",
"state": "GA",
"postal_code": "300131912",
"telephone_number": "256-496-4955"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1315 MILSTEAD RD NE",
"city": "CONYERS",
"state": "GA",
"postal_code": "300123824",
"telephone_number": "470-545-0860"
}
],
"practiceLocations": [
{
"address_1": "1711 College Ave",
"address_purpose": "LOCATION",
"city": "Jackson",
"state": "AL",
"postal_code": "365452425",
"country_code": "US",
"telephone_number": "512-465-7612",
"fax_number": "251-246-3779",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HARDY",
"first_name": "JONATHAN",
"middle_name": "DAVID",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-11-14",
"last_updated": "2023-11-20",
"certification_date": "2023-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AL",
"license": "PTH10496",
"primary": false
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": null,
"license": null,
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT016761",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Conyers, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.