Individual provider Active NPI

Jason L Land, PT

  • Physical Therapist
  • Round Rock, TX
National Provider Identifier
1144418112
Registry record updated Apr 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1157577 Issued in TX
Practice address
940 Hester's Crossing
Round Rock, TX 78681-8018
Phone
(512) 244-9024
Fax
(512) 460-7342
NPI assigned
Oct 4, 2007
Last updated
Apr 14, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 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 1157577 TX Primary

Addresses

Primary practice location

940 Hester's Crossing
Round Rock, TX 78681-8018

Mailing address

4515 Seton Center Parkway
Suite 215-Credentialing
Austin, TX 78759-5785
Phone (512) 231-5506

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081007000887 TX Practitioner - Physical Therapist in Private Practice 2062580723 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Endeavor Rehab Center IncGroup PAC ID 6800989369, 123 clinicians

Practice addresses (Care Compare)

3944 Ranch Rd 620
Suite 203
Bee Cave, TX 78738-7166
Phone (512) 215-0663

6911 Ranch Rd 620
B 201
Austin, TX 78732-1920
Phone (512) 467-4546

Merit-based Incentive Payment System (MIPS)

Final score
74.64 of 100Reported as group
Quality
46.1
Promoting interoperability
92
Improvement activities
40
Cost
76.04

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Endeavor Rehab Center Inc Physical Therapist CurrentSince Jan 25, 2017 Accepting new patients
Endeavor Rehab Center Inc Physical Therapist CurrentSince Jan 25, 2017 Accepting new patients
Seton Hospitalist Service Past Accepting new patients

Locations

1033 La Posada Dr
Ste 230
Austin, TX 78752
Phone (512) 284-7192

3809 S 2nd St
Ste D100
Austin, TX 78704
Phone (512) 800-2569

6911 Ranch Road 620 N
Austin, TX 78732
Phone (512) 219-8533

3944 Ranch Road 620 S
Ste 203
Bee Cave, TX 78738
Phone (512) 215-0663

5632 Edwards Ranch Rd
Ft Worth, TX 76109
Phone (817) 259-0600

896 Summit St
Round Rock, TX 78664
Phone (512) 599-4262

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1191456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428969600000",
    "number": "1144418112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4515 SETON CENTER PARKWAY",
            "address_2": "SUITE 215-CREDENTIALING",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787595785",
            "telephone_number": "512-231-5506",
            "fax_number": "512-406-6216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 HESTER'S CROSSING",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786818018",
            "telephone_number": "512-244-9024",
            "fax_number": "512-460-7342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAND",
        "first_name": "JASON",
        "middle_name": "L",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-04",
        "last_updated": "2015-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1157577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Round Rock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2015; 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.