Jason Edward Therrien, PT, DPT

Primary specialty

Geriatric Physical TherapistTaxonomy code 2251G0304X

License

9009 Issued in TN

Practice address

281 N Lyerly St Ste 200
Chattanooga, TN 37404-2728

Phone

(423) 698-0850

Fax

(423) 698-0511

NPI assigned

Oct 29, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Medical College of Georgia School of Medicine, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Specialists in Pain Management, PLLC Dba Spine and Pain AssociatesGroup PAC ID 1355253659, 36 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Specialists in Pain Management, PLLC Dba Spine & Pain Associates

  • Interventional Pain Medicine Physician
  • Chattanooga, TN
  • NPI 1447203922
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1414540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661385600000",
    "number": "1205231487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4702 PRESERVE DR",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374166113",
            "telephone_number": "706-284-9816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "281 N LYERLY ST STE 200",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374042728",
            "telephone_number": "423-698-0850",
            "fax_number": "423-698-0511"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2700 Parkwood Ave",
            "address_purpose": "LOCATION",
            "city": "Chattanooga",
            "state": "TN",
            "postal_code": "374041730",
            "country_code": "US",
            "telephone_number": "423-242-7123",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THERRIEN",
        "first_name": "JASON",
        "middle_name": "EDWARD",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-10-29",
        "last_updated": "2022-08-25",
        "certification_date": "2022-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "FL",
            "license": "28026",
            "primary": false
        },
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "TN",
            "license": "9009",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q01851A",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q025007",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Geriatric Physical Therapist in Chattanooga, TN
• Providers in Chattanooga, TN by specialty
• Geriatric Physical Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2022; 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.