Active NPI
Jason Michael Vezina Sr., LPTA
- Physical Therapy Clinic/Center
- Washington, DC
National Provider Identifier
1356534036
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- License
- 2306602009
- Practice address
- 207 F St NE
Washington, DC 20002-4928 - Phone
- (202) 256-4188
- NPI assigned
- Aug 25, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | 2306602009 | VA | Primary |
Addresses
Primary practice location
207 F St NE
Washington, DC 20002-4928
Mailing address
207 N Street North East
Washington, DC 20002-4928
Phone (202) 256-4188
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2306602009 | VA | MD | Physical Therapy Clinic/Center |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188000000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1220572800000",
"number": "1356534036",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "207 N STREET NORTH EAST",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200024928",
"telephone_number": "202-256-4188"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "207 F ST NE",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200024928",
"telephone_number": "202-256-4188"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VEZINA",
"first_name": "JASON",
"middle_name": "MICHAEL",
"name_prefix": "Mr.",
"name_suffix": "Sr.",
"credential": "LPTA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-08-25",
"last_updated": "2008-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "VA",
"license": "2306602009",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.