Active NPI
Jason Mathew Garner, MPT
- Physical Therapist
- Chicago, IL
National Provider Identifier
1407966435
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2004032031
- Practice address
- 201 E Huron St
Suite 9-105
Chicago, IL 60611-3197 - Phone
- (312) 926-3700
- NPI assigned
- Aug 31, 2006
- Sex
- Male
- Sole proprietor
- No
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 Therapist | 225100000X | 2004032031 | MO | Primary |
Addresses
Primary practice location
201 E Huron St
Suite 9-105
Chicago, IL 60611-3197
Mailing address
400 N McClurg CT
Apt 3913
Chicago, IL 60611-4323
Phone (314) 225-7670
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2004032031 | MO | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1187395200000",
"number": "1407966435",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 N MCCLURG CT",
"address_2": "APT 3913",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606114323",
"telephone_number": "314-225-7670"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 E HURON ST",
"address_2": "SUITE 9-105",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606113197",
"telephone_number": "312-926-3700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARNER",
"first_name": "JASON",
"middle_name": "MATHEW",
"name_prefix": "Mr.",
"credential": "MPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2007-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MO",
"license": "2004032031",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.