Jason P Hantavis, MSPT, CSCS, OCS

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

16986 Issued in MA

Practice address

489 Washington St
Suite 200
Auburn, MA 01501-5709

Phone

(508) 721-0000

Fax

(508) 721-0100

NPI assigned

Feb 16, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Francis P. Defalco, PC

  • Chiropractor
  • Holden, MA
  • NPI 1184944464
  NPD (past)
• J.B. Rehabilitation Associates, Inc

  • Orthopedic Physical Therapist
  • Quincy, MA
  • NPI 1528003951

  Physical Therapist

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481241600000",
    "number": "1386788941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "489 WASHINGTON ST",
            "address_2": "STE 200",
            "city": "AUBURN",
            "state": "MA",
            "postal_code": "015015709",
            "telephone_number": "774-696-8309",
            "fax_number": "508-721-0100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "489 WASHINGTON ST",
            "address_2": "SUITE 200",
            "city": "AUBURN",
            "state": "MA",
            "postal_code": "015015709",
            "telephone_number": "508-721-0000",
            "fax_number": "508-721-0100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANTAVIS",
        "first_name": "JASON",
        "middle_name": "P",
        "credential": "MSPT, CSCS, OCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-16",
        "last_updated": "2016-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "16986",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS ID",
            "identifier": "Y68375",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisa Marie Haddon, RN
• Caitlin Hagan
• Anastasia Nicole Hall, PT
• Montez Delver Hallback, DMD
• Hesham M. a. Hammouda, M.D.
• Brianna Marie Harrington
• Stefanie R. Haynes
• Healthsource of Auburn Inc
• Jo-Ellen Heath
• Julia Hebert, FNP-C

• All providers in Auburn, MA
• Physical Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2016; 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.