Individual provider Active NPI

Jason S Reese, P.T.

  • Physical Therapist
  • Lincolnton, NC
National Provider Identifier
1326339052
Registry record updated Feb 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P17268 Issued in NC
Practice address
435 N Generals Blvd
Lincolnton, NC 28092-3559
Phone
(980) 399-4440
NPI assigned
Apr 28, 2011
Last updated
Feb 29, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X P17268 NC Primary
Physical Therapist 225100000X 9278 AZ
Sports Physical Therapist 2251S0007X NU
Orthopedic Physical Therapist 2251X0800X NU

Addresses

Primary practice location

435 N Generals Blvd
Lincolnton, NC 28092-3559

Mailing address

15543 N Reems Rd
Suite 133
Surprise, AZ 85374-9582
Phone (623) 975-5374

Other practice location 1

15543 N Reems Rd
Suite 133
Surprise, AZ 85374-9582
Phone (623) 975-5374

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171003007387 NC Practitioner - Physical Therapist in Private Practice 6709064371 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ivyrehab North Carolina LLCGroup PAC ID 8820336324, 158 clinicians

Practice addresses (Care Compare)

836 E King St
Kings Mountain, NC 28086-3187
Phone (704) 739-5995

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P17268NCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Physical Therapy Associates LLC CurrentSince Dec 1, 2020 Accepting new patients
Ivyrehab North Carolina LLC CurrentSince Mar 18, 2024 Accepting new patients
Activcare Physical Therapy, LLC Physical Therapist CurrentSince Jul 31, 2017 Accepting new patients
Carolina Physical Therapy Associates LLC Physical Therapist CurrentSince Dec 1, 2020 Accepting new patients
Ivyrehab North Carolina LLC Physical Therapist CurrentSince Mar 18, 2024 Accepting new patients
Carolina Physical Therapy Associates LLC Current Accepting new patients
Carolina Physical Therapy Associates LLC Past Accepting new patients

Locations

90 Southside Ave
Ste 225
Asheville, NC 28801
Phone (828) 254-3525

5960 Fairview Rd
Ste 250
Charlotte, NC 28210
Phone (980) 224-7958

9216 Ardrey Kell Rd
Ste 300
Charlotte, NC 28277
Phone (980) 556-7330

166 Springbrook Ave
Ste 201
Clayton, NC 27520
Phone (919) 535-8461

401 Attain St
Ste 121
Fuquay Varina, NC 27526
Phone (252) 443-0808

836 E King St
Kings Mountain, NC 28086
Phone (704) 739-5995

435 N Generals Blvd
Lincolnton, NC 28092
Phone (809) 399-4440

201 N Church St
Ste 110
Mooresville, NC 28115
Phone (704) 909-7808

3410 Executive Dr
Ste 205
Raleigh, NC 27609
Phone (919) 322-0042

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": "1303948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709164800000",
    "number": "1326339052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15543 N REEMS RD",
            "address_2": "SUITE 133",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853749582",
            "telephone_number": "623-975-5374",
            "fax_number": "623-214-9489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 N GENERALS BLVD",
            "city": "LINCOLNTON",
            "state": "NC",
            "postal_code": "280923559",
            "telephone_number": "980-399-4440"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15543 N Reems Rd",
            "address_2": "Suite 133",
            "address_purpose": "LOCATION",
            "city": "Surprise",
            "state": "AZ",
            "postal_code": "853749582",
            "country_code": "US",
            "telephone_number": "623-975-5374",
            "fax_number": "623-214-9489",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REESE",
        "first_name": "JASON",
        "middle_name": "S",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-28",
        "last_updated": "2024-02-29",
        "certification_date": "2024-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P17268",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "9278",
            "primary": false
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincolnton, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2024; 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.