Individual provider Active NPI

Jason Scott Hockemeyer, DPT, PT

  • Physical Therapist
  • Midland, MI
National Provider Identifier
1346738283
Registry record updated Jul 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501018687 Issued in MI
Practice address
2600 N Saginaw Rd Ste C
Midland, MI 48640-2690
Phone
(989) 837-1529
NPI assigned
Apr 26, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 2024

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 5501018687 MI Primary

Addresses

Primary practice location

2600 N Saginaw Rd Ste C
Midland, MI 48640-2690

Mailing address

107 Schoolcrest Ave
Clare, MI 48617-1145
Phone (989) 837-1529

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180618002497 MI Practitioner - Physical Therapist in Private Practice 8628323532 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
On the Move Physical Therapy and Rehabilitation, LLCGroup PAC ID 2668865908, 2 clinicians

Practice addresses (Care Compare)

720 Livingston St
BSMT Suite
Bay City, MI 48708-6392
Phone (989) 899-7828

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5501018687MIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Evergreen Physical Therapy Limited Partnership Physical Therapist CurrentSince May 21, 2018 Accepting new patients
On the Move Physical Therapy and Rehabilitation, LLC Physical Therapist CurrentSince Apr 13, 2023 Accepting new patients
Evergreen Physical Therapy Limited Partnership Physical Therapist CurrentSince May 21, 2018 Accepting new patients
Evergreen Physical Therapy Limited Partnership Physical Therapist Current Accepting new patients

Locations

720 Livingston St
Bsmt
Bay City, MI 48708
Phone (989) 899-7828

107 Schoolcrest Ave
Clare, MI 48617
Phone (989) 386-9170

2600 N Saginaw Rd
Ste C
Midland, MI 48640
Phone (989) 386-9170

Organizations & group practices 4

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": "1524700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721174400000",
    "number": "1346738283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 SCHOOLCREST AVE",
            "city": "CLARE",
            "state": "MI",
            "postal_code": "486171145",
            "telephone_number": "989-837-1529",
            "fax_number": "989-837-2499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 N SAGINAW RD STE C",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486402690",
            "telephone_number": "989-837-1529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOCKEMEYER",
        "first_name": "JASON",
        "middle_name": "SCOTT",
        "credential": "DPT, PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-04-26",
        "last_updated": "2024-07-17",
        "certification_date": "2024-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501018687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midland, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 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.