Individual provider Active NPI

Jose Miguel Canelon, DPT

  • Physical Therapist
  • Woodstock, GA
National Provider Identifier
1932882164
Registry record updated Jul 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT016807 Issued in GA
Practice address
101 Smoke Hill LN Ste 120
Woodstock, GA 30188-7363
Phone
(404) 355-8066
Fax
(844) 239-7756
NPI assigned
Aug 14, 2023
Last updated
Jul 7, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2026

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 PT016807 GA Primary

Addresses

Primary practice location

101 Smoke Hill LN Ste 120
Woodstock, GA 30188-7363

Mailing address

101 Smoke Hill LN Ste 120
Woodstock, GA 30188-7363
Phone (404) 355-8066

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231023001455 GA Practitioner - Physical Therapist in Private Practice 8729434006 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Peachtree Orthopaedic Clinic PAGroup PAC ID 4587552963, 138 clinicians

Practice addresses (Care Compare)

3200 Downwood Cir NW
Suite 700
Atlanta, GA 30327-5308
Phone (404) 355-0743

Merit-based Incentive Payment System (MIPS)

Final score
94.9 of 100Reported as group
Promoting interoperability
94
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT016807GAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Valdosta Orthopedic Associates PC CurrentSince Aug 22, 2023 Accepting new patients
Peachtree Orthopaedic Clinic CurrentSince Sep 30, 2024 Accepting new patients
Peachtree Orthopaedic Clinic PA Physical Therapist CurrentSince Sep 30, 2024 Accepting new patients

Locations

2001 Peachtree Rd NE
Ste 705
Atlanta, GA 30309

3200 Downwood Cir NW
Ste 700
Atlanta, GA 30327

3520 N Crossing Cir
Valdosta, GA 31602
Phone (229) 242-8394

3527 N Valdosta Rd
Valdosta, GA 31602
Phone (229) 247-2290

101 Smoke Hill Ln
Ste 120
Woodstock, GA 30188
Phone (404) 355-8066

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/11118/brand/5/csg/22/fhir/r4
  • Direct secure messaging: jose.canelon.1@8474.direct.athenahealth.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1691971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783382400000",
    "number": "1932882164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 SMOKE HILL LN STE 120",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301887363",
            "telephone_number": "404-355-8066",
            "fax_number": "844-239-7756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 SMOKE HILL LN STE 120",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301887363",
            "telephone_number": "404-355-8066",
            "fax_number": "844-239-7756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANELON",
        "first_name": "JOSE",
        "middle_name": "MIGUEL",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-08-14",
        "last_updated": "2026-07-07",
        "certification_date": "2026-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT016807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodstock, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.