Jason Maughan

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

P160288364 Issued in WA

Practice address

1305 Alexander St
Centralia, WA 98531-1305

Phone

(360) 736-4080

Fax

(360) 807-2140

NPI assigned

Nov 22, 2013

Last updated

Nov 22, 2013By 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)

Not enrolled

State licenses

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

{
    "created_epoch": "1385078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1385078400000",
    "number": "1215367545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 ALEXANDER ST",
            "city": "CENTRALIA",
            "state": "WA",
            "postal_code": "985311305",
            "telephone_number": "360-736-4080",
            "fax_number": "360-807-2140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 ALEXANDER ST",
            "city": "CENTRALIA",
            "state": "WA",
            "postal_code": "985311305",
            "telephone_number": "360-736-4080",
            "fax_number": "360-807-2140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAUGHAN",
        "first_name": "JASON",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-11-22",
        "last_updated": "2013-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "WA",
            "license": "P160288364",
            "primary": true
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "UT",
            "license": "3506292402",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fredrick L Masters, CRNA
• Kathy Joy Matson, LPN
• Lora Lee Mattox, CPC
• Anne Elizabeth Matz, M.S.,P.T.
• Maughan Prosthetic & Orthotic, Inc.
• David L Maxey
• Elijah Maxwell, LMP
• Joshua B Mayes, PA-C
• Sherri Marie Maywald, MA
• Angelika Alma McCafferty, AAC

• Physical Therapy Assistant in Centralia, WA
• Providers in Centralia, WA by specialty
• Physical Therapy Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2013; 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.