Individual provider Active NPI

Ronald Dane Sylvest II, PT, DPT

  • Physical Therapist
  • Alpharetta, GA
National Provider Identifier
1922626910
Registry record updated Jul 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT014648 Issued in GA
Practice address
735 N Main St Ste 1300
Alpharetta, GA 30009-2411
Phone
(770) 580-8575
NPI assigned
Jul 7, 2020
Last updated
Jul 7, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2020

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 PT014648 GA Primary

Addresses

Primary practice location

735 N Main St Ste 1300
Alpharetta, GA 30009-2411

Mailing address

5085 Amber Leaf Dr
Roswell, GA 30076-4281
Phone (225) 936-8292

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PT014648GAMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1594080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594080000000",
    "number": "1922626910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5085 AMBER LEAF DR",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300764281",
            "telephone_number": "225-936-8292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "735 N MAIN ST STE 1300",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300092411",
            "telephone_number": "770-580-8575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SYLVEST",
        "first_name": "RONALD",
        "middle_name": "DANE",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-07",
        "last_updated": "2020-07-07",
        "certification_date": "2020-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT014648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alpharetta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2020; 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.