Jason Downard
Individual provider Active NPI Physical Therapy Assistant · Hazlehurst, MS
NPI 1346563558 · NPPES record last updated Mar 3, 2010
Key facts
- NPI
- 1346563558
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- PTA4424 (MS)
- Practice address
- 133 W Gallatin St
Hazlehurst, MS 39083-3020 - Phone
- (601) 894-2027
- NPI assigned
- Mar 3, 2010
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTA4424 | MS | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | PTA4424 | MS | Yes |
Addresses
Primary practice location
133 W Gallatin St
Hazlehurst, MS 39083-3020
Mailing address
4109 Highway 98 W
Summit, MS 39666-9132
Other providers in Hazlehurst, MS
- Copiah County Medical Center
- Copiah County Medical Center
- Copiah Family Dentistry
- Jazmin Corley
- Troy Donald Douglas
- Clay Eckerson
- George E Ellis
- Family Wellness & Chiropractic
- Fast Pace Mississippi, PLLC
- Freds Stores of Tennessee Inc
All providers in Hazlehurst, MS · Physical Therapy Assistant in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 3, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.