Individual provider Active NPI

Jase Thomas Ledman, DPT

  • Physical Therapist
  • Panama City Beach, FL
National Provider Identifier
1073196069
Registry record updated May 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT36623 Issued in FL
Practice address
13405 Panama City Beach Pkwy Ste a
Panama City Beach, FL 32407-2885
Phone
(850) 236-7497
NPI assigned
Apr 28, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 11, 2022

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 PT36623 FL Primary

Addresses

Primary practice location

13405 Panama City Beach Pkwy Ste a
Panama City Beach, FL 32407-2885

Mailing address

1305 Panama City Beach Pkwy
Suite a
Panama City Beach, FL 32407

Other practice location 1

3920 Bee Ridge Rd
BLDG E, Unit G
Sarasota, FL 34233
Phone (941) 925-2700

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220521000109 FL Practitioner - Physical Therapist in Private Practice 3577940097 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Therapy One Rehabilitation Center IncGroup PAC ID 7113131475, 10 clinicians

Practice addresses (Care Compare)

3210 Jenks Ave
Panama City, FL 32405-4224
Phone (850) 763-0603

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy One Rehabilitation Center, Inc. Physical Therapist CurrentSince Apr 6, 2022 Accepting new patients
Back in Motion Sarasota Physical Physical Therapist CurrentSince May 1, 2021 Accepting new patients

Locations

3210 Jenks Ave
Panama City, FL 32405
Phone (850) 763-0603

13405 Panama City Beach Pkwy
Ste A
Panama City Beach, FL 32407
Phone (850) 236-7497

3920 Bee Ridge Rd
Ste E-G
Sarasota, FL 34233
Phone (941) 925-2700

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": "1619568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652227200000",
    "number": "1073196069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 PANAMA CITY BEACH PKWY",
            "address_2": "SUITE A",
            "city": "PANAMA CITY BEACH",
            "state": "FL",
            "postal_code": "32407",
            "fax_number": "941-925-7744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13405 PANAMA CITY BEACH PKWY STE A",
            "city": "PANAMA CITY BEACH",
            "state": "FL",
            "postal_code": "324072885",
            "telephone_number": "850-236-7497"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3920 BEE RIDGE RD",
            "address_2": "BLDG E, UNIT G",
            "address_purpose": "LOCATION",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "34233",
            "country_code": "US",
            "telephone_number": "941-925-2700",
            "fax_number": "941-925-7744",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEDMAN",
        "first_name": "JASE",
        "middle_name": "THOMAS",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-04-28",
        "last_updated": "2022-05-11",
        "certification_date": "2022-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT36623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Panama City Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2022; 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.