Individual provider Active NPI

Jonathan K Bass, PT

  • Physical Therapist
  • Columbia, TN
National Provider Identifier
1265943328
Registry record updated Oct 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11513 Issued in TN
Practice address
1050 N James Campbell Blvd
Suite 110
Columbia, TN 38401-2754
Phone
(931) 560-1400
Fax
(931) 490-1369
NPI assigned
Oct 17, 2017
Last updated
Oct 17, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2017

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 11513 TN Primary

Addresses

Primary practice location

1050 N James Campbell Blvd
Suite 110
Columbia, TN 38401-2754

Mailing address

1050 N James Campbell Blvd
Suite 200
Columbia, TN 38401-2754
Phone (931) 381-2663

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171208000513 TN Practitioner - Physical Therapist in Private Practice 2264799717 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
81.13 of 100Reported as group
Quality
82.29
Improvement activities
40
Cost
59.2

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11513TNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
TX: Team Rehab Inc. Physical Therapist CurrentSince Dec 20, 2021 Accepting new patients
Mid-Tennessee Bone & Joint CurrentSince Oct 1, 2017 Accepting new patients

Locations

8910 Purdue Rd
Ste 700
Indianapolis, IN 46268

9101 Wesleyan Rd
Ste 100
Indianapolis, IN 46268
Phone (843) 873-7613

1050 N James M Campbell Blvd
Ste 200
Columbia, TN 38401
Phone (931) 381-2661

870 Oak Meadow Dr
Franklin, TN 37064
Phone (615) 721-5452

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: jonathan.basspt.p1@direct.mtbj.nextgenshare.com

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": "1508198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508198400000",
    "number": "1265943328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 N JAMES CAMPBELL BLVD",
            "address_2": "SUITE 200",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "384012754",
            "telephone_number": "931-381-2663",
            "fax_number": "931-490-1369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 N JAMES CAMPBELL BLVD",
            "address_2": "SUITE 110",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "384012754",
            "telephone_number": "931-560-1400",
            "fax_number": "931-490-1369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASS",
        "first_name": "JONATHAN",
        "middle_name": "K",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-10-17",
        "last_updated": "2017-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "11513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2017; 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.