Active NPI
Jason S Strang, PT
- Physical Therapist
- Davenport, IA
National Provider Identifier
1164418117
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 03072
- Practice address
- 3385 Dexter CT
Ste 301
Davenport, IA 52807-3471 - Phone
- (563) 344-6645
- Fax
- (563) 441-7796
- NPI assigned
- Sep 26, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 03072 | IA | Primary |
| Physical Therapist | 225100000X | 070011980 | IL |
Addresses
Primary practice location
3385 Dexter CT
Ste 301
Davenport, IA 52807-3471
Mailing address
3385 Dexter CT
Ste 301
Davenport, IA 52807-3471
Phone (563) 344-6645
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
| License | State | Type | Specialty |
|---|---|---|---|
| 070011980 | IL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clinton Physical Therapy Services | Past | Accepting new patients | |
| Clinton Physical Therapy Services, P.C. | Physical Therapist | Past | Accepting new patients |
| Clinton Physical Therapy | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Durable Medical Equipment & Medical Supplies
- Clinton, IA
- NPI 1427238351
-
- Durable Medical Equipment & Medical Supplies
- De Witt, IA
- NPI 1003096066
-
- Physical Therapist
- Clinton, IA
- NPI 1548271612
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1357603200000",
"number": "1164418117",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3385 DEXTER CT",
"address_2": "STE 301",
"city": "DAVENPORT",
"state": "IA",
"postal_code": "528073471",
"telephone_number": "563-344-6645",
"fax_number": "563-441-7796"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3385 DEXTER CT",
"address_2": "STE 301",
"city": "DAVENPORT",
"state": "IA",
"postal_code": "528073471",
"telephone_number": "563-344-6645",
"fax_number": "563-441-7796"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STRANG",
"first_name": "JASON",
"middle_name": "S",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-26",
"last_updated": "2013-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IA",
"license": "03072",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070011980",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Davenport, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.