Individual provider Active NPI

Jonathon Worth Locke

  • Physical Therapist
  • Montgomery, AL
National Provider Identifier
1962048454
Registry record updated Apr 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
1636 Mulberry St
Montgomery, AL 36106-1522
Phone
(342) 653-1993
Fax
(334) 265-3189
NPI assigned
Nov 20, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2025

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 Primary

Addresses

Primary practice location

1636 Mulberry St
Montgomery, AL 36106-1522

Mailing address

1636 Mulberry St
Montgomery, AL 36106-1522
Phone (334) 265-3199

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231211000601 AL Practitioner - Physical Therapist in Private Practice 1951750306 Reassigns benefits to 4 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
Elite Rehab IncGroup PAC ID 9436476066, 12 clinicians
Elite Rehab Holtville LLCGroup PAC ID 5698145035, 5 clinicians
Harmony Rehab Solutions IncGroup PAC ID 5890027023, 4 clinicians

Practice addresses (Care Compare)

1636 Mulberry St
Montgomery, AL 36106-1522
Phone (334) 265-3199

213 Lightwood Rd
Suite 2
Deatsville, AL 36022-3800
Phone (334) 543-4269

6942 Winton Blount Blvd
Montgomery, AL 36117-3556
Phone (334) 277-1234

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Rehab Inc Physical Therapist CurrentSince Dec 6, 2024 Accepting new patients
Tallassee Rehab PC Physical Therapist CurrentSince Dec 11, 2024 Accepting new patients
Elite Rehab Inc Physical Therapist CurrentSince Dec 6, 2024 Accepting new patients
Elite Rehab Holtville LLC Physical Therapist CurrentSince Dec 11, 2024 Accepting new patients

Locations

213 Lightwood Rd
Ste 2
Deatsville, AL 36022
Phone (334) 543-4269

1636 Mulberry St
Montgomery, AL 36106
Phone (334) 265-3199

11123 Chantilly Pkwy Ct
Unit D
Pike Road, AL 36064
Phone (334) 746-5522

935 Highway 431
Ste 1
Roanoke, AL 36274
Phone (334) 799-5853

1000 Friendship Rd
Tallassee, AL 36078
Phone (334) 283-8032

Organizations & group practices 5

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": "1574208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745452800000",
    "number": "1962048454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1636 MULBERRY ST",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361061522",
            "telephone_number": "334-265-3199",
            "fax_number": "334-265-3189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1636 MULBERRY ST",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361061522",
            "telephone_number": "342-653-1993",
            "fax_number": "334-265-3189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOCKE",
        "first_name": "JONATHON",
        "middle_name": "WORTH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-11-20",
        "last_updated": "2025-04-24",
        "certification_date": "2025-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2025; 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.