Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Johnathan Admiraal

Individual provider Physical Therapist · NPI 1124792700

Johnathan Admiraal is a Physical Therapist in Private Practice in Dacula, Georgia. Qualified in 2021, 5 years ago. Practices with Independent Physical Therapy of Georgia LLC, a 529-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
5
Licensed in
GA
In the registry since
2021

Practice location Address checks out

2463 Hamilton Mill Pkwy Ste 250
Dacula, GA 30019-4647
Phone: (770) 932-9521
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT017840 (GA)

Record details

NPI number1124792700
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 5, 2021
Last updated in NPPESJuly 11, 2025
Certification dateJuly 11, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Independent Physical Therapy Of Georgia Llc — 529 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Dacula