Individual provider Active NPI

John T Pearson Jr., PT

  • Physical Therapist
  • Craig, CO
National Provider Identifier
1194828798
Registry record updated May 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
4825 Issued in CO
Practice address
440 Taylor St
Craig, CO 81625-2729
Phone
(970) 822-6480
Fax
(970) 826-4801
NPI assigned
Sep 7, 2006
Last updated
May 25, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 25, 2010

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 4825 CO Primary

Addresses

Primary practice location

440 Taylor St
Craig, CO 81625-2729

Mailing address

440 Taylor St
Craig, CO 81625-2729
Phone (970) 826-4800

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100716000392 CO Practitioner - Physical Therapist in Private Practice 4789716341 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of New Mexico School of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

440 Taylor St
Craig, CO 81625-2729
Phone (970) 826-4800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4825COMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Pearson Physiotherapy CurrentSince Jun 18, 2023 Accepting new patients
Pearson Physiotherapy Specialists, LLC Physical Therapist CurrentSince Jun 1, 2010 Accepting new patients

Locations

440 Taylor St
Craig, CO 81625
Phone (970) 629-3656

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274745600000",
    "number": "1194828798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 TAYLOR ST",
            "city": "CRAIG",
            "state": "CO",
            "postal_code": "816252729",
            "telephone_number": "970-826-4800",
            "fax_number": "970-826-4801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 TAYLOR ST",
            "city": "CRAIG",
            "state": "CO",
            "postal_code": "816252729",
            "telephone_number": "970-822-6480",
            "fax_number": "970-826-4801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEARSON",
        "first_name": "JOHN",
        "middle_name": "T",
        "name_suffix": "Jr.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-07",
        "last_updated": "2010-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "4825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Craig, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2010; 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.