Individual provider Active NPI

Jason Kyle Hubbard, P.T.

  • Physical Therapist
  • Santa Barbara, CA
National Provider Identifier
1114392610
Registry record updated Dec 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
43279 Issued in CA
Practice address
319 Anacapa St
Santa Barbara, CA 93101-2351
Phone
(805) 898-1907
NPI assigned
Dec 9, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2015

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 43279 CA Primary

Addresses

Primary practice location

319 Anacapa St
Santa Barbara, CA 93101-2351

Mailing address

3335 Richland Dr
Apt 10
Santa Barbara, CA 93105-3259
Phone (626) 241-7612

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

State licenses

LicenseStateTypeSpecialty
43279CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Colorado Sports Physical Therapy, LLC CurrentSince Jun 20, 2018 Accepting new patients
Sansum Clinic PastSince Feb 1, 2016 Accepting new patients

Locations

390 Empire Rd
Ste 201
Lafayette, CO 80026
Phone (720) 216-5128

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": "1449619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449619200000",
    "number": "1114392610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3335 RICHLAND DR",
            "address_2": "APT 10",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931053259",
            "telephone_number": "626-241-7612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 ANACAPA ST",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931012351",
            "telephone_number": "805-898-1907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUBBARD",
        "first_name": "JASON",
        "middle_name": "KYLE",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-12-09",
        "last_updated": "2015-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "43279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Barbara, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 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.