Active NPI
Ronnie Brantley Jones Jr., MPT
- Physical Therapist
- St Simons Island, GA
National Provider Identifier
1881784619
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT006972
- Practice address
- 2601A Demere Rd
St Simons Island, GA 31522-1614 - Phone
- (912) 634-9945
- Fax
- (912) 638-1584
- NPI assigned
- Oct 13, 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 | PT006972 | GA | Primary |
Addresses
Primary practice location
2601A Demere Rd
St Simons Island, GA 31522-1614
Mailing address
PO Box 949
Rome, GA 30162-0949
Phone (706) 236-2774
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 176324981A | Medicaid | GA |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT006972 | GA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advance Rehabilitation and Consulting | Physical Therapist | Past | Accepting new patients |
| Physical Therapy Plus, Inc | 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.
-
dba PT Plus Too
- Occupational Therapist
- St Simons Island, GA
- NPI 1124194261
Physical Therapist
-
- Physical Therapist
- Rome, GA
- NPI 1174518682
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1395187200000",
"number": "1881784619",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 949",
"city": "ROME",
"state": "GA",
"postal_code": "301620949",
"telephone_number": "706-236-2774",
"fax_number": "706-236-2783"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2601A DEMERE RD",
"city": "ST SIMONS ISLAND",
"state": "GA",
"postal_code": "315221614",
"telephone_number": "912-634-9945",
"fax_number": "912-638-1584"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "RONNIE",
"middle_name": "BRANTLEY",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "MPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-13",
"last_updated": "2014-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT006972",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "176324981A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in St Simons Island, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.