Active NPI
Jason Lau, PT
- Physical Therapist
- Pasadena, CA
National Provider Identifier
1093034993
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 800 S Raymond Ave
Pasadena, CA 91105-3229 - Phone
- (626) 795-0800
- Fax
- (626) 795-7374
- NPI assigned
- May 18, 2010
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
800 S Raymond Ave
Pasadena, CA 91105-3229
Mailing address
PO Box 90730
Pasadena, CA 91109-0730
Phone (626) 795-0800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PT36658 | Other | CA | PT LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1274140800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1312761600000",
"number": "1093034993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 90730",
"city": "PASADENA",
"state": "CA",
"postal_code": "911090730",
"telephone_number": "626-795-0800",
"fax_number": "626-795-7374"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 S RAYMOND AVE",
"city": "PASADENA",
"state": "CA",
"postal_code": "911053229",
"telephone_number": "626-795-0800",
"fax_number": "626-795-7374"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAU",
"first_name": "JASON",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-05-18",
"last_updated": "2011-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PT LICENSE",
"identifier": "PT36658",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pasadena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.