Individual provider Active NPI

Jason Robert Perkins

  • Behavior Technician
  • Fort Myers, FL
National Provider Identifier
1346019890
Registry record updated Dec 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-23-317701 Issued in FL
Practice address
12493 Brantley Commons CT FL 33907
Fort Myers, FL 33907-5693
Phone
(239) 268-8707
Fax
(239) 567-5878
NPI assigned
Dec 26, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-23-317701 FL Primary

Addresses

Primary practice location

12493 Brantley Commons CT FL 33907
Fort Myers, FL 33907-5693

Mailing address

2651 Sanibel Blvd
Saint James City, FL 33956-2231
Phone (239) 246-8979

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

LicenseStateTypeSpecialty
RBT-23-317701FLMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Smart Endeavors Therapy Services, LLC. CurrentSince Dec 31, 2023 Accepting new patients
Smart Endeavors Therapy Services, LLC. PastSince Dec 31, 2023 Accepting new patients

Locations

12493 Brantley Commons Ct
Fort Myers, FL 33907
Phone (239) 268-8707

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": "1703548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703548800000",
    "number": "1346019890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2651 SANIBEL BLVD",
            "city": "SAINT JAMES CITY",
            "state": "FL",
            "postal_code": "339562231",
            "telephone_number": "239-246-8979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12493 BRANTLEY COMMONS CT FL 33907",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339075693",
            "telephone_number": "239-268-8707",
            "fax_number": "239-567-5878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERKINS",
        "first_name": "JASON",
        "middle_name": "ROBERT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-12-26",
        "last_updated": "2023-12-26",
        "certification_date": "2023-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-23-317701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.