Active NPI
Jason Patrick Reichel, PTA
- Physical Therapy Assistant
- Elizabethtown, KY
National Provider Identifier
1013236470
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 07532
- Practice address
- 1117 Woodland Dr
Elizabethtown, KY 42701-2774 - Phone
- (270) 769-2363
- NPI assigned
- May 25, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 07532 | OH | Primary |
Addresses
Primary practice location
1117 Woodland Dr
Elizabethtown, KY 42701-2774
Mailing address
64 Danbury Rd
Wilton, CT 06897-4429
Phone (800) 278-0332
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 07532 | OH | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1274745600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1274745600000",
"number": "1013236470",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "64 DANBURY RD",
"city": "WILTON",
"state": "CT",
"postal_code": "068974429",
"telephone_number": "800-278-0332",
"fax_number": "800-970-5001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1117 WOODLAND DR",
"city": "ELIZABETHTOWN",
"state": "KY",
"postal_code": "427012774",
"telephone_number": "270-769-2363"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REICHEL",
"first_name": "JASON",
"middle_name": "PATRICK",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-05-25",
"last_updated": "2010-05-25",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "OH",
"license": "07532",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elizabethtown, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.