Active NPI
Jason Thomas, MPT
- Physical Therapist
- Souderton, PA
National Provider Identifier
1316014673
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT014010L
- Practice address
- 600 New Market Dr
Souderton, PA 18964-2268 - Phone
- (215) 721-4483
- Fax
- (215) 721-4483
- NPI assigned
- Nov 29, 2006
- Last updated
- Jul 9, 2007
- 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 | PT014010L | PA | Primary |
Addresses
Primary practice location
600 New Market Dr
Souderton, PA 18964-2268
Mailing address
600 New Market Dr
Souderton, PA 18964-2268
Phone (215) 721-4483
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01924006 | Medicaid | PA | |
| 30011625 | Other | PA | KEYSTONE MERCY ID# |
| 0019240060002 | Medicaid | PA | |
| 2025609000 | Other | PA | PERSONAL CHOICE ID# |
| 2025609000 | Other | PA | BLUE CROSS ID# |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT014010L | PA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1316014673",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 NEW MARKET DR",
"city": "SOUDERTON",
"state": "PA",
"postal_code": "189642268",
"telephone_number": "215-721-4483",
"fax_number": "215-721-4483"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 NEW MARKET DR",
"city": "SOUDERTON",
"state": "PA",
"postal_code": "189642268",
"telephone_number": "215-721-4483",
"fax_number": "215-721-4483"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "JASON",
"name_prefix": "Mr.",
"credential": "MPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-29",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT014010L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01924006",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE MERCY ID#",
"identifier": "30011625",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0019240060002",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PERSONAL CHOICE ID#",
"identifier": "2025609000",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS ID#",
"identifier": "2025609000",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Souderton, PA
- St Luke's Physician Group Inc (St. Luke's Primary Care Souderton)
- Hannah H Suh, RPH
- Sharon Swartley, LPN
- Robert Tamburri, PHARMD
- The Giant Company, LLC (Giant Pharmacy #6018)
- Thrift Drug Inc (Rite Aid Pharmacy 11095)
- Terri Lynn Torma, RD LDN
- Towne Monitoring Service, LP
- Deborah Maria Trout, BSL
- Laura Ulery, MOTR/L
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.