Individual provider Active NPI

Jason A Lott, P.T.

  • Physical Therapist
  • Evans, GA
National Provider Identifier
1255387304
Registry record updated Jun 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT003706 Issued in GA
Practice address
415 Town Park Blvd
Evans, GA 30809
Phone
(706) 868-1707
Fax
(706) 868-1351
NPI assigned
May 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2018

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 PT003706 GA Primary

Addresses

Primary practice location

415 Town Park Blvd
Evans, GA 30809

Mailing address

415 Town Park Blvd
Evans, GA 30809-3487
Phone (706) 868-1707

Other practice location 1

7013 Evans Town Center Blvd
Suite 201
Evans, GA 30809-5130
Phone (706) 868-1707

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060120000547 GA Practitioner - Physical Therapist in Private Practice 9830113604 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Evans Rehabilitation Services, LLCGroup PAC ID 2769467034, 20 clinicians

Practice addresses (Care Compare)

415 Town Park Blvd
Evans, GA 30809-3487
Phone (706) 868-1707

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4009SCMDGeneral Practice Dentistry
PT003706GAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Evans Rehabilitation Services, LLC Physical Therapist CurrentSince Mar 25, 2006 Accepting new patients
Augusta Orthopedic & Sports Medicine Specialists PC CurrentSince Dec 1, 2021 Accepting new patients
Augusta Orthopedic & Sports Medicine Specialists PC CurrentSince Dec 1, 2021 Accepting new patients
South Aiken Physical Therapy, LLC Physical Therapist PastSince Aug 1, 2024 Accepting new patients

Locations

3650 J Dewey Gray Cir
Augusta, GA 30909
Phone (706) 863-9797

2115 Windsor Spring Rd
Ste 23
Augusta, GA 30906
Phone (706) 793-6211

415 Town Park Blvd
Evans, GA 30809
Phone (706) 690-4372

1001 Village Park Dr
Ste 105
Greensboro, GA 30642
Phone (706) 454-2000

150 Main St
Thomson, GA 30824
Phone (706) 595-1090

410 University Pkwy
Ste 1000
Aiken, SC 29801
Phone (803) 644-4264

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/23890/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529452800000",
    "number": "1255387304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 TOWN PARK BLVD",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308093487",
            "telephone_number": "706-868-1707",
            "fax_number": "706-868-1351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 TOWN PARK BLVD",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "30809",
            "telephone_number": "706-868-1707",
            "fax_number": "706-868-1351"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7013 Evans Town Center Blvd",
            "address_2": "Suite 201",
            "address_purpose": "LOCATION",
            "city": "Evans",
            "state": "GA",
            "postal_code": "308095130",
            "country_code": "US",
            "telephone_number": "706-868-1707",
            "fax_number": "706-868-1351",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOTT",
        "first_name": "JASON",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-26",
        "last_updated": "2018-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT003706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evans, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2018; 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.