Individual provider Active NPI

Jason Daniel Reeves, MS,PT

  • Physical Therapist
  • Madison, MS
National Provider Identifier
1275546103
Registry record updated Mar 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT4077 Issued in MS
Practice address
401 Baptist Dr
Suite 306
Madison, MS 39110-2009
Phone
(601) 607-7204
Fax
(601) 607-7430
NPI assigned
Aug 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X PT4077 MS
Physical Therapist 225100000X PT4077 MS Primary

Addresses

Primary practice location

401 Baptist Dr
Suite 306
Madison, MS 39110-2009

Mailing address

965 Ridge Lake Blvd Ste 103
Memphis, TN 38120-9446
Phone (901) 227-3255

Other identifiers 2

IdentifierTypeStateIssuer
7752862OtherMSAETNA
PT4077OtherMSMS BOARD CERTIFICATION #

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160204000323 MS Practitioner - Physical Therapist in Private Practice 7618271164 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

401 Baptist Dr
Suite 306
Madison, MS 39110-2012
Phone (601) 607-7204

Merit-based Incentive Payment System (MIPS)

Final score
78.38 of 100Reported as group
Quality
54.22
Promoting interoperability
100
Improvement activities
40
Cost
73.72

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
PT4077MSMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Foundation of Central Ms CurrentSince Jan 1, 2016 Accepting new patients
Medical Foundation of Central Mississippi, Inc. Physical Therapist Current Accepting new patients

Locations

108 Clinton Pkwy
Clinton, MS 39056
Phone (601) 926-2018

4301 Lakeland Dr
Flowood, MS 39232
Phone (601) 939-7010

151 E Metro Dr
Ste 202
Flowood, MS 39232
Phone (601) 973-1507

102 Lexington Dr
#100
Gluckstadt, MS 39110
Phone (601) 973-1688

6250 Old Canton Rd
Ste 130
Jackson, MS 39211
Phone (601) 956-7280

1200 N State St
Ste 210
Jackson, MS 39202
Phone (601) 714-3202

1225 N State St
Jackson, MS 39202
Phone (601) 292-4261

401 Baptist Dr
Ste 306
Madison, MS 39110
Phone (601) 607-7204

401 Baptist Dr
Ste 104
Madison, MS 39110
Phone (601) 605-2383

746 E Fifteenth St
Yazoo City, MS 39194
Phone (662) 746-4032

965 Ridge Lake Blvd
Ste 103
Memphis, TN 38120
Phone (901) 227-3221

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521072000000",
    "number": "1275546103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "965 RIDGE LAKE BLVD STE 103",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381209446",
            "telephone_number": "901-227-3255",
            "fax_number": "901-227-3205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 BAPTIST DR",
            "address_2": "SUITE 306",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "391102009",
            "telephone_number": "601-607-7204",
            "fax_number": "601-607-7430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REEVES",
        "first_name": "JASON",
        "middle_name": "DANIEL",
        "name_prefix": "Mr.",
        "credential": "MS,PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-14",
        "last_updated": "2018-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MS",
            "license": "PT4077",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MS",
            "license": "PT4077",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7752862",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MS BOARD CERTIFICATION #",
            "identifier": "PT4077",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 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.