Johnathan Admiraal
NPI 1124792700ActiveIndividual· Physical Therapist· Dacula, GA
Physical Therapist with Independent Physical Therapy of Georgia, LLC, practicing in Dacula, Georgia. Enrolled in Medicare as practitioner - physical therapist in private practice.
Overview
| NPI | 1124792700 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Aug 5, 2021 |
| Last updated in NPPES | Jul 11, 2025 |
| Certified by provider | Jul 11, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | PT017840 | GA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (GA) |
|---|
Education and affiliations
| Graduation year | 2021 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Independent Physical Therapy of Georgia, LLCMonroe, GA · 531 clinicians
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