Individual provider Active NPI

Jason Grant Keesee, DPT

  • Physical Therapist
  • Clayton, NC
National Provider Identifier
1306577952
Registry record updated Nov 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P24377 Issued in NC
Practice address
2196 Veterans Pkwy
Clayton, NC 27520-8343
Phone
(919) 763-1050
Fax
(919) 969-9131
NPI assigned
Jun 23, 2022
Last updated
Nov 24, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2305214978 VA
Physical Therapist 225100000X CP043121T NC
Physical Therapist 225100000X P24377 NC Primary

Addresses

Primary practice location

2196 Veterans Pkwy
Clayton, NC 27520-8343

Mailing address

PO Box 5105
Belfast, ME 04915-5100
Phone (919) 763-1050

Other practice location 1

109 Bridge St Apt 300
Danville, VA 24541-1241
Phone (434) 793-4711

Other identifiers 2

IdentifierTypeStateIssuer
2305214978OtherVASTATE LICENSE
P24377OtherNCLICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, NC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220713000099 VA Practitioner - Physical Therapist in Private Practice 6103207824 Reassigns benefits to 2 organizations
I20260225000460 NC Practitioner - Physical Therapist in Private Practice 6103207824 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergeortho PAGroup PAC ID 0749188894, 726 clinicians
Danville Physician Practices LLCGroup PAC ID 4688606304, 171 clinicians

Practice addresses (Care Compare)

100 Kellie Dr
Smithfield, NC 27577-9444
Phone (919) 934-1094

109 Bridge St
Apt 300
Danville, VA 24541-1241
Phone (434) 793-4711

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CP043121TNCMDPhysical Therapist
P24377NCMDPhysical Therapist
2305214978VAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Emergeortho, PA CurrentSince Oct 12, 2025 Accepting new patients
Danville Physician Practices LLC CurrentSince Jul 1, 2025 Accepting new patients
Emergeortho PA Physical Therapist CurrentSince Oct 13, 2025 Accepting new patients
Danville Physician Practices LLC Current Accepting new patients
Emergeortho PA CurrentSince Oct 13, 2025 Accepting new patients
Spectrum Medical Inc CurrentSince Jul 25, 2022 Accepting new patients
Greensboro Pathology, LLC Current Accepting new patients

Locations

2196 Veterans Pkwy
Clayton, NC 27520
Phone (919) 763-1050

120 William Penn Plz
Durham, NC 27704
Phone (919) 281-1836

100 Kellie Dr
Smithfield, NC 27577
Phone (919) 934-1094

142 S Main St
Danville, VA 24541
Phone (434) 799-2100

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19847/brand/3/csg/21/fhir/r4
  • Direct secure messaging: jason.keesee.1@847.direct.athenahealth.com

Organizations & group practices 7

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": "1655942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763942400000",
    "number": "1306577952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5105",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049155100",
            "telephone_number": "919-763-1050",
            "fax_number": "919-969-9131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2196 VETERANS PKWY",
            "city": "CLAYTON",
            "state": "NC",
            "postal_code": "275208343",
            "telephone_number": "919-763-1050",
            "fax_number": "919-969-9131"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "109 Bridge St Apt 300",
            "address_purpose": "LOCATION",
            "city": "Danville",
            "state": "VA",
            "postal_code": "245411241",
            "country_code": "US",
            "telephone_number": "434-793-4711",
            "fax_number": "434-797-2514",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KEESEE",
        "first_name": "JASON",
        "middle_name": "GRANT",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-23",
        "last_updated": "2025-11-24",
        "certification_date": "2025-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305214978",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "CP043121T",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P24377",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "2305214978",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "P24377",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clayton, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2025; 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.