Jason Witt, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1134229 Issued in TX

Practice address

930 W Centerville Rd Ste C
Garland, TX 75041-5854

Phone

(469) 291-8500

NPI assigned

Mar 6, 2019

Last updated

Mar 6, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1551830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551830400000",
    "number": "1184182321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4418 RIDGECOVE DR",
            "city": "ROWLETT",
            "state": "TX",
            "postal_code": "750883128",
            "telephone_number": "972-463-1405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 W CENTERVILLE RD STE C",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750415854",
            "telephone_number": "469-291-8500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WITT",
        "first_name": "JASON",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-03-06",
        "last_updated": "2019-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "TX",
            "license": "1134229",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1134229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jasmin Jenay Wilson, LMSW
• Rhonda Goree Wilson, LBSW
• Apryl R Winfrey, CNA
• Winnie-Stowell Hospital District (Avir at Garland)
• Lakisha P Winters, M.A.,LPC-A, NCC
• Michelle Woertink, MS CCC-SLP
• Jared Allan Wolf, MD
• Hannah Laura Wolfe, OTR
• Janida Wong, COTA
• Douglas Michael Wood, D.O.

• Physical Therapist in Garland, TX
• Providers in Garland, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.