Individual provider Active NPI

Jason Loftus, PA-C

  • Physician Assistant
  • Windsor, CT
National Provider Identifier
1396962593
Registry record updated Dec 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
708 Issued in CT
Practice address
1080 Day Hill Rd
Concentra
Windsor, CT 06095-1781
Phone
(860) 298-8442
NPI assigned
Apr 19, 2007
Last updated
Dec 3, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 708 CT Primary
Medical Physician Assistant 363AM0700X 993 MA

Addresses

Primary practice location

1080 Day Hill Rd
Concentra
Windsor, CT 06095-1781

Mailing address

760 Barry St
Feeding Hills, MA 01030-1010

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, CT2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20100602000391 MA Practitioner - Physician Assistant 9537298476 Reassigns benefits to 1 organization
I20130827000515 CT Practitioner - Physician Assistant 9537298476 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Farmington Valley Orthopedic Associates PCGroup PAC ID 4981636743, 4 clinicians

Practice addresses (Care Compare)

100 Hazard Ave
Suite 205
Enfield, CT 06082-5447
Phone (860) 677-0079

1060 Day Hill Rd
Suite 201
Windsor, CT 06095-5720
Phone (860) 677-0079

34 Dale Rd
Suite 208
Avon, CT 06001-3659
Phone (860) 677-0079

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
993MAMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
American Current Care of Massachusetts PC CurrentSince Apr 7, 2015 Accepting new patients
American Current Care P.a. CurrentSince Jun 10, 2013 Accepting new patients
American Current Care PA CurrentSince Jun 10, 2013 Accepting new patients

Locations

701 Main St
East Hartford, CT 06108
Phone (860) 289-5561

1080 Day Hill Rd
Windsor, CT 06095
Phone (860) 298-8442

140 Carando Dr
Springfield, MA 01104
Phone (413) 746-4006

66B Concord St
Wilmington, MA 01887
Phone (978) 657-3826

5080 Spectrum Dr
Ste 1200W
Addison, TX 75001

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417564800000",
    "number": "1396962593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "760 BARRY ST",
            "city": "FEEDING HILLS",
            "state": "MA",
            "postal_code": "010301010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1080 DAY HILL RD",
            "address_2": "CONCENTRA",
            "city": "WINDSOR",
            "state": "CT",
            "postal_code": "060951781",
            "telephone_number": "860-298-8442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOFTUS",
        "first_name": "JASON",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-19",
        "last_updated": "2014-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CT",
            "license": "708",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MA",
            "license": "993",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Windsor, CT

Sources for this page

Verify at the official NPI Registry.