Individual provider Active NPI

Joseph Melvin Sapp, PT

  • Physical Therapist
  • Warner Robins, GA
National Provider Identifier
1922020361
Registry record updated Jul 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
4656 Issued in GA
Practice address
3051 Watson Blvd 525
Warner Robins, GA 31093-8556
Phone
(478) 953-4563
Fax
(478) 953-4564
NPI assigned
Jul 24, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2015

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 4656 GA Primary

Addresses

Primary practice location

3051 Watson Blvd 525
Warner Robins, GA 31093-8556

Mailing address

2 Mashburn St 102
Hawkinsville, GA 31036-4961
Phone (478) 783-4460

Other identifiers 1

IdentifierTypeStateIssuer
000754619BMedicaidGA

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

LicenseStateTypeSpecialty
4656GAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Georgia Sports Medicine and Orthopedic Clinic, PC Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437523200000",
    "number": "1922020361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 MASHBURN ST 102",
            "city": "HAWKINSVILLE",
            "state": "GA",
            "postal_code": "310364961",
            "telephone_number": "478-783-4460",
            "fax_number": "478-783-4466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3051 WATSON BLVD 525",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310938556",
            "telephone_number": "478-953-4563",
            "fax_number": "478-953-4564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAPP",
        "first_name": "JOSEPH",
        "middle_name": "MELVIN",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2015-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "4656",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000754619B",
            "state": "GA"
        }
    ],
    "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 Jul 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.