Jason Powell, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

42567 Issued in CA

Practice address

645 Castle Hill Rd
Redwood City, CA 94061-1101

Phone

(650) 366-6002

NPI assigned

Jun 15, 2015

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

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Star Physical TherapyGroup PAC ID 0547172660, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Star Physical Therapy

  • Physical Therapist
  • Redwood City, CA
  • NPI 1730267204
  Medicare reassignment Care Compare group Authorized official

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

{
    "created_epoch": "1434326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434326400000",
    "number": "1144601113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "645 CASTLE HILL RD",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940611101",
            "telephone_number": "650-366-6002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "645 CASTLE HILL RD",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940611101",
            "telephone_number": "650-366-6002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWELL",
        "first_name": "JASON",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-15",
        "last_updated": "2015-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "42567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frieda Sara Wechsler Poskanzer
• Diana Genoveva Posner I
• Heather Poupore-King, PHD
• Hermin Pourtahmasbi, M.A. IN MFT
• Adriana Povlow, MD
• Vanessa Johnson Powell
• Powerphysicaltherapy&Otherservicesinc
• Ravi Prasad, PH.D
• Giyarpuram Nadathur Prashant, M.D.
• Pravdin Medical Corporation

• Physical Therapist in Redwood City, CA
• Providers in Redwood City, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 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.