Individual provider Active NPI

Jason Dean Creek, DPT

  • Physical Therapist
  • Fort Walton Beach, FL
National Provider Identifier
1326389933
Registry record updated Mar 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT28121 Issued in FL
Practice address
600 Opp Dr
Fort Walton Beach, FL 32548-4493
Phone
(850) 301-1935
Fax
(850) 301-1937
NPI assigned
Mar 6, 2013
Last updated
Mar 6, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 6, 2013

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 PT28121 FL Primary

Addresses

Primary practice location

600 Opp Dr
Fort Walton Beach, FL 32548-4493

Mailing address

600 Opp Dr
Fort Walton Beach, FL 32548-4493
Phone (850) 301-1935

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240920001709 NC Practitioner - Physical Therapist in Private Practice 7214173988 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Loma Linda University School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1945 J N Pease PL
Suite 201
Charlotte, NC 28262-4512
Phone (951) 445-9241

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT28121FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
North Carolina Luna Care Physical Therapy LLC Physical Therapist CurrentSince Sep 23, 2025 Accepting new patients
Jason D Creek Physical Therapist CurrentSince Jul 26, 2024 Accepting new patients
Duke University Health System, Inc. CurrentSince Sep 23, 2025 Accepting new patients
Duke University Health System, Inc. Physical Therapist CurrentSince Sep 23, 2025 Accepting new patients
White Sands Physical Therapy Inc Physical Therapist CurrentSince Mar 11, 2013 Accepting new patients

Locations

600 Opp Dr
Ft Walton Bch, FL 32548
Phone (850) 301-1935

1945 J N Pease Pl
Ste 201
Charlotte, NC 28262
Phone (951) 445-9241

2301 Erwin Rd
Durham, NC 27705
Phone (919) 668-0289

40 Duke Medicine Cir
Durham, NC 27710
Phone (919) 681-1300

Organizations & group practices 6

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": "1362528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362528000000",
    "number": "1326389933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 OPP DR",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325484493",
            "telephone_number": "850-301-1935",
            "fax_number": "850-301-1937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 OPP DR",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325484493",
            "telephone_number": "850-301-1935",
            "fax_number": "850-301-1937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CREEK",
        "first_name": "JASON",
        "middle_name": "DEAN",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-03-06",
        "last_updated": "2013-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT28121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Walton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2013; 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.