NPIMap

Organization Active NPI

Jason Jorgensen, DO, PLLC

  • Physical Medicine & Rehabilitation Physician
  • Lewisville, TX
National Provider Identifier
1013355932
Registry record updated Feb 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
JASON JORGENSEN, DO, PLLC
Practice address
500 W Main St
Lewisville, TX 75057-3641
Phone
(214) 970-6817
Fax
(682) 593-0695
NPI assigned
Jun 13, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2021

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

Authorized official

Name
Kathleen Vawter
Title
Administrator
Phone
(801) 388-7745

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X N9717 TX
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X Primary

Addresses

Primary practice location

500 W Main St
Lewisville, TX 75057-3641

Mailing address

2637 N Washington Blvd # 164
North Ogden, UT 84414-2240
Phone (801) 388-7745

Other practice location 1

3301 Matlock Rd
Arlington, TX 76015-2908
Phone (214) 970-6817

Other practice location 2

1620 Coit Rd
Plano, TX 75075-6135
Phone (214) 970-6817

Other practice location 3

325 W Hickory Ridge Cir
Argyle, TX 76226-3947
Phone (214) 970-6817

Other practice location 4

7777 Forest Ln
Dallas, TX 75230-2571
Phone (214) 970-6817

Other practice location 5

130 S Central Expy
McKinney, TX 75070-3742
Phone (214) 970-6817

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131016000060 TX Part B Supplier - Clinic/Group Practice 4688808108 Receives reassigned benefits from 1 practitioner
Practice locations: Dallas, TX; Plano, TX; McKinney, TX; Lewisville, TX; Frisco, TX; Denton, TX; Decatur, TX; Bedford, TX…

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

1620 Coit Rd
Bldg D
Plano, TX 75075

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1371081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613952000000",
    "number": "1013355932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2637 N WASHINGTON BLVD # 164",
            "city": "NORTH OGDEN",
            "state": "UT",
            "postal_code": "844142240",
            "telephone_number": "801-388-7745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 W MAIN ST",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750573641",
            "telephone_number": "214-970-6817",
            "fax_number": "682-593-0695"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3301 Matlock Rd",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "TX",
            "postal_code": "760152908",
            "country_code": "US",
            "telephone_number": "214-970-6817",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1620 Coit Rd",
            "address_purpose": "LOCATION",
            "city": "Plano",
            "state": "TX",
            "postal_code": "750756135",
            "country_code": "US",
            "telephone_number": "214-970-6817",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "325 W Hickory Ridge Cir",
            "address_purpose": "LOCATION",
            "city": "Argyle",
            "state": "TX",
            "postal_code": "762263947",
            "country_code": "US",
            "telephone_number": "214-970-6817",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7777 Forest Ln",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752302571",
            "country_code": "US",
            "telephone_number": "214-970-6817",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "130 S Central Expy",
            "address_purpose": "LOCATION",
            "city": "McKinney",
            "state": "TX",
            "postal_code": "750703742",
            "country_code": "US",
            "telephone_number": "214-970-6817",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JASON JORGENSEN, DO, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-13",
        "last_updated": "2021-02-22",
        "certification_date": "2021-02-22",
        "status": "A",
        "authorized_official_last_name": "VAWTER",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "801-388-7745"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TX",
            "license": "N9717",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewisville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.