JONATHAN E. KOONTZ (NPI# 1700841632) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700841632 |
| Entity Type | Individual |
| Full Name | JONATHAN E. KOONTZ |
| Credential | PT |
| Practice Address |
3211 Iris Dr Covington GA 30016-0907 |
| Practice Telephone | 7707872950 |
| Practice Fax Number | 7707813830 |
| Mailing Telephone | 7707872950 |
| Mailing Fax Number | 7707813830 |
| Enumeration Date | 2006-04-20 |
| Last Update Date | 2008-04-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
PT008439 | GA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
3211 IRIS DR |
| City | COVINGTON |
| State | GA |
| Zip Code | 30016-0907 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588651137 | Robert T. Greenfield | Orthopaedic Surgery | 3211 Iris Dr, Covington, GA 30016-0907 | 2005-09-29 |
| 1326688581 | Ashley Difolco Parker | Physical Therapy Assistant | 3211 Iris Dr, Covington, GA 30016-0907 | 2020-01-15 |
| 1215114178 | Tiffany Michelle Alberson | Occupational Therapist | 3211 Iris Dr, Covington, GA 30016-0907 | 2008-01-23 |
| 1902011745 | Chealon D Miller | Orthopaedic Surgery | 3211 Iris Dr, Covington, GA 30016-0907 | 2007-05-14 |
| 1558587915 | Jane Soon-yuen Tan | Orthopaedic Surgery | 3211 Iris Dr, Covington, GA 30016-0907 | 2007-04-17 |
| 1952438186 | Resurgens, PC | Orthopaedic Surgery | 3211 Iris Dr, Covington, GA 30016-0907 | 2007-02-27 |
| 1720172372 | Angie J. Burch | Physical Therapist | 3211 Iris Dr, Covington, GA 30016-0907 | 2006-10-03 |
| 1841247822 | Douglas Young IIi | Physical Therapist | 3211 Iris Dr, Covington, GA 30016-0907 | 2006-05-27 |
| 1336194836 | Roderica E. Cottrell | Physical Medicine & Rehabilitation | 3211 Iris Dr, Covington, GA 30016-0907 | 2006-05-23 |
| 1407805666 | Ronald W Baker Sr. | Orthopaedic Surgery | 3211 Iris Dr, Covington, GA 30016 | 2006-05-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013565605 | Katrina Williams | Case Manager/Care Coordinator | 220 Meadowidge Dr, Covington, GA 30016 | 2019-08-28 |
| 1407322134 | Mali Rice | Registered Nurse | 105 Syracuse Lane, Covington, GA 30016 | 2018-10-20 |
| 1619452927 | Angelina Jones | Contractor | 290 Piedmont Circle, Covington, GA 30016 | 2018-10-02 |
| 1881116721 | Springhill Manor Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 600 Spring Hill Drive, Covington, GA 30016 | 2017-07-12 |
| 1922538529 | Tisha Owes | Home Health | 110 Trinity Dr, Covington, GA 30016 | 2017-06-15 |
| 1053868695 | Delhia Assanah IIi | Counselor | 101 Kirkland Road, Covington, GA 30016 | 2016-09-01 |
| 1760834295 | Resurgens East Surgery Center, LLC | Clinic/Center | 3241 Iris Dr, Suite 100, Covington, GA 30016 | 2016-07-08 |
| 1528443371 | Latoya N Wright | Counselor | 100 Winnstead Place, Covington, GA 30016 | 2015-07-22 |
| 1598157307 | Sierra Private Homecare, Inc. | Adult Companion | 75 Cinnamon Oak Circle, Covington, GA 30016 | 2015-03-03 |
| 1326391079 | Lana Abiola Fraser | Nurse's Aide | 840 Oakhill Road, Covington, GA 30016 | 2012-10-18 |
| Find all providers in zip 30016 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053850925 | Gina Shields New | Physical Therapist | 1500 James Simpson Jr Drive, Covington, KY 41011 | 2017-02-13 |
| 1972040228 | Lauren Chappetta King | Physical Therapist | Movement Science Center, 1201 Ochsner Blvd, Covington, LA 70433 | 2017-01-25 |
| 1740810100 | Donald Martin Ponzo Jr. | Physical Therapist | 653 Myrtle Dr, Covington, LA 70433-8225 | 2020-01-23 |
| 1790190353 | Emily Lafleur | Physical Therapist | 1550 Ochsner Blvd, Covington, LA 70433-8192 | 2014-06-23 |
| 1932456142 | Christopher Baracco | Physical Therapist | 1201 Ochsner Blvd, Suite A, Covington, LA 70433-8147 | 2012-08-07 |
| 1083853899 | Germaine Lee Silva | Physical Therapist | 1010 S Polk St, Suite 2, Covington, LA 70433-2474 | 2009-02-18 |
| 1639267974 | Dynamic Physical Therapy Services LLC | Physical Therapist | 653 Myrtle Drive, Covington, LA 70433 | 2006-10-11 |
| 1841247822 | Douglas Young IIi | Physical Therapist | 3211 Iris Dr, Covington, GA 30016-0907 | 2006-05-27 |
| 1508821976 | Steven H. Speeler | Physical Therapist | 3211 Iris Dr, Covington, GA 30016-0907 | 2006-04-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871100479 | Production Physicos,llc | Physical Therapist | 461 Sandy Creek Rd Ste 1102, Fayetteville, GA 30214-4284 | 2020-09-28 |
| 1710593819 | David Spellings | Physical Therapist | 3991 Us-78, Suite 200, Snellville, GA 30039 | 2020-09-23 |
| 1841801644 | Noah Konner Lindsey | Physical Therapist | 5270 Peachtree Pkwy Ste 116, Norcross, GA 30092-2558 | 2020-08-14 |
| 1942810106 | Caitlin M Hesse | Physical Therapist | 4480 S Cobb Dr Se Ste Y, Smyrna, GA 30080-6984 | 2020-08-03 |
| 1669007316 | Dynamic Swing Performance, LLC | Physical Therapist | 2031 Cobblestone Cir Ne, Brookhaven, GA 30319-4909 | 2020-03-03 |
| 1356810113 | Ryan Daniel Ahlenius | Physical Therapist | 6360 Dove Dr, Loganville, GA 30052-3031 | 2018-11-21 |
| 1720557127 | Dr. Tiffany Lamonde LLC | Physical Therapist | 1445 Haw Creek Circle, Suite 503, Cumming, GA 30041 | 2018-11-15 |
| 1700363686 | Jason Y Kawamura | Physical Therapist | 2300 Liam Ave Ste 103, Dacula, GA 30019-2265 | 2018-07-24 |
| 1649766528 | Carrie Elizabeth Dendtler | Physical Therapist | 320 Montgomery Ave, Alpharetta, GA 30004-3163 | 2018-07-03 |
| 1558853085 | Re Generate Physiotherapy, LLC | Physical Therapist | 1240 Ga-54, Building 700, Fayetteville, GA 30214 | 2018-05-31 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.