Active NPI
Jason Paul Harrison, PTA
- Physical Therapy Assistant
- Oklahoma City, OK
National Provider Identifier
1124141486
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- TA473
- Practice address
- 3300 NW Expressway
Suite 809
Oklahoma City, OK 73112 - Phone
- (405) 917-7160
- Fax
- (406) 917-7161
- NPI assigned
- Apr 9, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 Therapy Assistant | 225200000X | TA473 | OK | Primary |
Addresses
Primary practice location
3300 NW Expressway
Suite 809
Oklahoma City, OK 73112
Mailing address
1203 Valley Forge Dr
Yukon, OK 73099-4962
Phone (405) 808-8030
Other names 1
- Mr. Jason Paul Harrison
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TA473 | OK | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176076800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1124141486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1203 VALLEY FORGE DR",
"city": "YUKON",
"state": "OK",
"postal_code": "730994962",
"telephone_number": "405-808-8030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3300 NW EXPRESSWAY",
"address_2": "SUITE 809",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "73112",
"telephone_number": "405-917-7160",
"fax_number": "406-917-7161"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRISON",
"first_name": "JASON",
"middle_name": "PAUL",
"name_prefix": "Mr.",
"credential": "PTA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "OK",
"license": "TA473",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JASON",
"last_name": "HARRISON",
"middle_name": "PAUL",
"prefix": "MR.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.