MEDICARE: MICHAEL LOUIS JONES II DPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	PT015047	GA

General Provider Information

NPI Number	:	1063014702
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAEL LOUIS JONES II DPT

Provider Business Mailing Address
First Line	:	1869 BELMORE ST SE
Second Line	:
City	:	SMYRNA
State	:	GA
Zip	:	30080-1263
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3201 CAINS HILL PL NW
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30305-1809
Country	:	US
Telephone Number	:	404-548-8263
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/09/2020
Last Update Date	:	06/15/2026

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