Active NPI
Jason Tejano, DPT
- Physical Therapist
- Naples, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT41669
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| PT41669 | FL | MD | Physical Therapist |
| 11-07359 | KS | MD | Physical Therapist |
Practice roles (6 of 7)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced PT LLC | Physical Therapist | Current | Accepting new patients |
| Fyzbiz, LLC | Physical Therapist | Current | Accepting new patients |
| Advanced PT, LLC | Current | Accepting new patients | |
| Douglass Orthopedic & Spine Rehabilitation, Inc. | Physical Therapist | Current | Accepting new patients |
| Advanced PT LLC | Physical Therapist | Current | Accepting new patients |
| Phoenix Physical Therapy LLC | Current | 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.
-
- Physical Therapist
- Bonita Springs, FL
- NPI 1992762298
-
- Physical Therapist
- Kansas City, KS
- NPI 1144251232
-
- Physical Therapy Clinic/Center
- Wichita, KS
- NPI 1053906404
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.