Jason G Williams, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

59325932401 Issued in UT

Practice address

77 S 400 W
Spanish Fork, UT 84660-2053

Phone

(801) 798-1626

Fax

(801) 798-1236

NPI assigned

Aug 30, 2005

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

Other identifiers 5

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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.

• Professional Therapy and Rehabilitation LLC

  • Physical Therapist
  • Spanish Fork, UT
  • NPI 1629259189
  NPD (past)

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

{
    "created_epoch": "1125360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444608000000",
    "number": "1104819655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 S 400 W",
            "city": "SPANISH FORK",
            "state": "UT",
            "postal_code": "846602053",
            "telephone_number": "801-798-1626",
            "fax_number": "801-798-1236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 S 400 W",
            "city": "SPANISH FORK",
            "state": "UT",
            "postal_code": "846602053",
            "telephone_number": "801-798-1626",
            "fax_number": "801-798-1236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "JASON",
        "middle_name": "G",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-30",
        "last_updated": "2015-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "UT",
            "license": "59325932401",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "1629259189",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "1629259189",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "1629259189",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALTIUS",
            "identifier": "QM0000076331",
            "state": "UT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "870578539003",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Terie Wiederhold
• Robert Christopher Wilkins, LCSW
• Coy Willes
• Laura A Willey, LMT
• Brooke L Williams, LMT
• Julianne Williams
• Willow Grove Counseling
• Bailey Wilson
• Brooklyn Wilson
• Ryan Schofield Wing, DDS

• Physical Therapist in Spanish Fork, UT
• Providers in Spanish Fork, UT by specialty
• Physical Therapist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2015; 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.