Individual provider Active NPI

Jason Thomas, PT, DPT

  • Physical Therapist
  • Troy, MI
National Provider Identifier
1164813994
Registry record updated Feb 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501017086 Issued in MI
Practice address
3435 Livernois Rd
Troy, MI 48083-5063
Phone
(248) 743-1234
Fax
(248) 743-1211
NPI assigned
Feb 16, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 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 5501017086 MI Primary

Addresses

Primary practice location

3435 Livernois Rd
Troy, MI 48083-5063

Mailing address

29255 Northwestern Hwy
Ste. 300
Southfield, MI 48034-1018
Phone (248) 353-1234

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150324000878 MI Practitioner - Physical Therapist in Private Practice 0941527337 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ompt Specialists IncGroup PAC ID 7012920416, 32 clinicians

Practice addresses (Care Compare)

14901 23 Mile Rd
Suite C
Shelby Township, MI 48315-3009
Phone (248) 353-1234

4600 Investment Dr
Suite 190
Troy, MI 48098-6365
Phone (248) 353-1234

Merit-based Incentive Payment System (MIPS)

Final score
81.38 of 100Reported as group
Quality
70.13
Promoting interoperability
100
Improvement activities
40
Cost
67.82

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Joseph Advanced Facial Plastic Surgery, PLLC CurrentSince Jul 14, 2024 Accepting new patients
Auto & Work Comp Rehab LLC Past Accepting new patients

Locations

3435 Livernois Rd
Troy, MI 48083
Phone (248) 743-1234

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.

NPI Registry JSON

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

{
    "created_epoch": "1424044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424044800000",
    "number": "1164813994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29255 NORTHWESTERN HWY",
            "address_2": "STE. 300",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480341018",
            "telephone_number": "248-353-1234",
            "fax_number": "248-353-1211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3435 LIVERNOIS RD",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480835063",
            "telephone_number": "248-743-1234",
            "fax_number": "248-743-1211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "JASON",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-02-16",
        "last_updated": "2015-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501017086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 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.