Jason Waddles, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

TP2019119 Issued in KY

Practice address

101 Eastside Dr Ste D
Georgetown, KY 40324-8763

Phone

(502) 867-0111

NPI assigned

Sep 13, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Kentucky Orthopedic Rehabilitation, LLC

  • Physical Therapy Clinic/Center
  • Richmond, KY
  • NPI 1295477248
  NPD (past)
• Kentucky Orthopedic Rehabilitation, LLC

  • Physical Therapy Clinic/Center
  • Lexington, KY
  • NPI 1730189762

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1568332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568332800000",
    "number": "1063062875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1132 JONESTOWN LN",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405172996",
            "telephone_number": "859-447-0620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 EASTSIDE DR STE D",
            "city": "GEORGETOWN",
            "state": "KY",
            "postal_code": "403248763",
            "telephone_number": "502-867-0111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WADDLES",
        "first_name": "JASON",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-09-13",
        "last_updated": "2019-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "TP2019119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaime Ison Varney, PMHNP-BC
• Melissa Diane Vaught, FNP
• Stephanie Vittitoe, LPCC
• Jennifer Briana Volmer, DNP, CRNA, APRN
• Daniel J Volpe, A.T.,C. , CSCS
• David M Waespe, MD
• Phillip L Wagner, MD
• Tina L Waits, OTRL
• Wal-Mart Stores East LP
• Wal-Mart Stores East LP

• Physical Therapist in Georgetown, KY
• Providers in Georgetown, KY by specialty
• Physical Therapist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.