Individual provider Active NPI

Jason Tejano, DPT

  • Physical Therapist
  • Naples, FL
National Provider Identifier
1013606334
Registry record updated Nov 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT41669 Issued in FL
Practice address
7740 Preserve LN Ste 5
Naples, FL 34119-9710
Phone
(239) 227-2297
Fax
(239) 228-4878
NPI assigned
May 3, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 11-07359 KS
Physical Therapist 225100000X PT41669 FL Primary

Addresses

Primary practice location

7740 Preserve LN Ste 5
Naples, FL 34119-9710

Mailing address

25241 Elementary Way Ste 200
Bonita Springs, FL 34135-7883
Phone (239) 947-4184

Other practice location 1

12250 Tamiami Trl E Ste 102
Naples, FL 34113-8108
Phone (239) 417-0027

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230621002903 KS Practitioner - Physical Therapist in Private Practice 4981062049 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Phoenix Physical Therapy LLC 50 clinicians

Practice addresses (Care Compare)

12627 E Central Ave
Suite 308
Wichita, KS 67206-2839
Phone (316) 260-3311

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT41669FLMDPhysical Therapist
11-07359KSMDPhysical Therapist

Practice roles (6 of 7)

OrganizationSpecialtyStatusNew patients
Advanced PT LLC Physical Therapist CurrentSince Jun 9, 2023 Accepting new patients
Fyzbiz, LLC Physical Therapist CurrentSince Jun 9, 2024 Accepting new patients
Advanced PT, LLC CurrentSince Jun 9, 2023 Accepting new patients
Douglass Orthopedic & Spine Rehabilitation, Inc. Physical Therapist CurrentSince Jul 1, 2001 Accepting new patients
Advanced PT LLC Physical Therapist Current Accepting new patients
Phoenix Physical Therapy LLC CurrentSince Sep 3, 2024 Accepting new patients

Locations

25241 Elementary Way
Ste 200
Bonita Springs, FL 34135
Phone (239) 947-4184

12250 Tamiami Trl E
Ste 102
Naples, FL 34113
Phone (239) 417-0027

7740 Preserve Ln
Ste 5
Naples, FL 34119
Phone (239) 227-2297

3730 N Ridge Rd
Ste 500
Wichita, KS 67205
Phone (316) 440-4901

12627 E Central Ave
Wichita, KS 67206

12627 E Central Ave
Ste 308
Wichita, KS 67206

4515 E Central Ave
Ste A
Wichita, KS 67208
Phone (316) 260-6869

200 W Douglas Ave
Ste 250
Wichita, KS 67202
Phone (316) 265-9922

Networks

  • Freedom Health HMO Network

Organizations & group practices 6

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": "1683072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731888000000",
    "number": "1013606334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25241 ELEMENTARY WAY STE 200",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341357883",
            "telephone_number": "239-947-4184",
            "fax_number": "239-947-4171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7740 PRESERVE LN STE 5",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341199710",
            "telephone_number": "239-227-2297",
            "fax_number": "239-228-4878"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12250 Tamiami Trl E Ste 102",
            "address_purpose": "LOCATION",
            "city": "Naples",
            "state": "FL",
            "postal_code": "341138108",
            "country_code": "US",
            "telephone_number": "239-417-0027",
            "fax_number": "239-417-0041",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TEJANO",
        "first_name": "JASON",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-05-03",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "11-07359",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT41669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2024; 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.