Jason A Myers, MSPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

021324-1 Issued in NY

Practice address

5183 Lyle Dr
Clay, NY 13041-9721

Phone

(315) 382-8939

Fax

(888) 817-4702

NPI assigned

May 25, 2010

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 NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Adirondack Physical and Occupational Therapy LLCGroup PAC ID 9234129099, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Adirondack Physical and Occupational Therapy LLC

  • Physical Therapist
  • Oswego, NY
  • NPI 1942380969
  Medicare reassignment Care Compare group NPD
• Central Physical & Occupational Therapy, PLLC

  dba Central Therapy

  • Physical Therapist
  • Clay, NY
  • NPI 1164822078
  NPD (past) Authorized official
• Adirondack Physical & Occupational Therapy, LLC

  • Occupational Therapist
  • Oswego, NY
  • NPI 1578869608

  Physical Therapist

  NPD

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

{
    "created_epoch": "1274745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1448236800000",
    "number": "1194044479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5183 LYLE DR",
            "city": "CLAY",
            "state": "NY",
            "postal_code": "130419721",
            "telephone_number": "315-382-8939",
            "fax_number": "888-817-4702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5183 LYLE DR",
            "city": "CLAY",
            "state": "NY",
            "postal_code": "130419721",
            "telephone_number": "315-382-8939",
            "fax_number": "888-817-4702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYERS",
        "first_name": "JASON",
        "middle_name": "A",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-25",
        "last_updated": "2015-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "021324-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Leo, REGISTERED NURSE
• Chelsea Lynch, L.P.N.
• Trina Veronica Mathias, LPN
• Anthony Mondo, OD
• Suzaura Muller, LPN
• Laura Nickolai, COMS; CVRT
• Danielle M O'Brien
• Olga Bartley
• Patty-Roy Foundation, Inc.
• Lindsay Priest

• Physical Therapist in Clay, NY
• Providers in Clay, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 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.