Active NPI
Joseph Melvin Sapp, PT
- Physical Therapist
- Warner Robins, GA
National Provider Identifier
1922020361
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 4656
- 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
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000754619B | 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 |
|---|---|---|---|
| 4656 | GA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New 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.
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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.