Individual provider Active NPI

Jason L Melton, PT, DPT

  • Physical Therapist
  • Henderson, NV
National Provider Identifier
1013348754
Registry record updated Jan 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2914 Issued in NV
Practice address
3041 W Horizon Ridge Pkwy Ste 140
Henderson, NV 89052-4445
Phone
(702) 565-6565
Fax
(702) 565-8898
NPI assigned
Dec 5, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 4, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2914 NV Primary

Addresses

Primary practice location

3041 W Horizon Ridge Pkwy Ste 140
Henderson, NV 89052-4445

Mailing address

3041 W Horizon Ridge Pkwy Ste 140
Henderson, NV 89052-4445
Phone (702) 565-6565

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140312000204 NV Practitioner - Physical Therapist in Private Practice 6204066384 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elevation Physical Therapy, LLCGroup PAC ID 1052787983, 6 clinicians

Practice addresses (Care Compare)

3005 W Horizon Ridge Pkwy
Suite 101
Henderson, NV 89052-5030
Phone (702) 840-2500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopaedic Institute of Henderson LLP CurrentSince Dec 1, 2020 Accepting new patients
Elevation Physical Therapy, LLC Physical Therapist CurrentSince Apr 10, 2023 Accepting new patients
Therapy West LLC Physical Therapist Past Accepting new patients

Locations

3041 W Horizon Ridge Pkwy
Ste 140
Henderson, NV 89052
Phone (702) 251-8000

710 Coronado Center Dr
Ste 110
Henderson, NV 89052
Phone (702) 565-6565

3005 W Horizon Ridge Pkwy
Ste 101
Henderson, NV 89052
Phone (702) 739-8722

10561 Jeffreys St
Ste 230
Henderson, NV 89052
Phone (702) 565-6565

8475 S Eastern Ave
Ste 105A
Las Vegas, NV 89123
Phone (725) 209-2049

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/22165/brand/1/csg/1/fhir/r4

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1386201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641254400000",
    "number": "1013348754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3041 W HORIZON RIDGE PKWY STE 140",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890524445",
            "telephone_number": "702-565-6565",
            "fax_number": "702-565-8898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3041 W HORIZON RIDGE PKWY STE 140",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890524445",
            "telephone_number": "702-565-6565",
            "fax_number": "702-565-8898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELTON",
        "first_name": "JASON",
        "middle_name": "L",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-12-05",
        "last_updated": "2022-01-04",
        "certification_date": "2022-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NV",
            "license": "2914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.