Active NPI
Jason A Lott, P.T.
- Physical Therapist
- Evans, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT003706
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 4009 | SC | MD | General Practice Dentistry |
| PT003706 | GA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Evans Rehabilitation Services, LLC | Physical Therapist | Current | Accepting new patients |
| Augusta Orthopedic & Sports Medicine Specialists PC | Current | Accepting new patients | |
| Augusta Orthopedic & Sports Medicine Specialists PC | Current | Accepting new patients | |
| South Aiken Physical Therapy, LLC | Physical Therapist | Past | 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
- 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.
-
- Physical Therapist
- Evans, GA
- NPI 1093715773
-
- Orthopaedic Surgery Physician
- Augusta, GA
- NPI 1457389504
-
- Orthopaedic Surgery Physician
- Aiken, SC
- NPI 1952076382
-
- Physical Therapist
- Aiken, SC
- NPI 1558653196
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.