Individual provider Active NPI

Jason Daniel Woollard, PT

  • Physical Therapist
  • Pittsburgh, PA
National Provider Identifier
1033329867
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT015430 Issued in PA
Practice address
14 Wilkins Rd
Pittsburgh, PA 15221-3632
Phone
(412) 389-5069
NPI assigned
May 23, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 PT015430 PA Primary

Addresses

Primary practice location

14 Wilkins Rd
Pittsburgh, PA 15221-3632

Mailing address

14 Wilkins Rd
Pittsburgh, PA 15221-3632
Phone (412) 389-5069

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230119002847 PA Practitioner - Physical Therapist in Private Practice 2163893652 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Square One Physical Therapy LLCGroup PAC ID 6608156500, 5 clinicians

Practice addresses (Care Compare)

4543 McKnight Rd
Pittsburgh, PA 15237-3108
Phone (412) 748-1616

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Square One Physical Therapy LLC Physical Therapist CurrentSince Nov 8, 2022 Accepting new patients

Locations

4543 McKnight Rd
Pittsburgh, PA 15237
Phone (412) 748-1616

Organizations & group practices 2

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": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1033329867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 WILKINS RD",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152213632",
            "telephone_number": "412-389-5069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 WILKINS RD",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152213632",
            "telephone_number": "412-389-5069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOLLARD",
        "first_name": "JASON",
        "middle_name": "DANIEL",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT015430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.