Individual provider Active NPI

Jason M. Hatt, P.T.

  • Physical Therapist
  • Grants Pass, OR
National Provider Identifier
1447250436
Registry record updated Apr 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
4610 Issued in OR
Practice address
497 Ramsey Ave
Grants Pass, OR 97527-5681
Phone
(541) 476-1919
Fax
(541) 476-1920
NPI assigned
Jul 31, 2005
Last updated
Apr 18, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2008

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 4610 OR Primary

Addresses

Primary practice location

497 Ramsey Ave
Grants Pass, OR 97527-5681

Mailing address

625 Ramsey Ave
Suite B
Grants Pass, OR 97527-5808
Phone (541) 476-1919

Other identifiers 3

IdentifierTypeStateIssuer
299816MedicaidOR
P00113583OtherORMEDICARE RAILROAD
J284208OtherORPACIFIC SOURCE INSURANCE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100921001197 OR Practitioner - Physical Therapist in Private Practice 0345366837 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4610ORMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Benchmark Physical Therapy of Or, LLC Physical Therapist CurrentSince Jul 1, 2016 Accepting new patients
Benchmark Physical Therapy of Oregon LLC Physical Therapist CurrentSince Jul 1, 2016 Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

2160 NW Vine St
Grants Pass, OR 97526
Phone (541) 476-1919

497 SW Ramsey Ave
Grants Pass, OR 97527
Phone (541) 476-1919

625 SW Ramsey Ave
Ste B
Grants Pass, OR 97527
Phone (541) 476-1919

3512 Excel Dr
Ste 105
Medford, OR 97504
Phone (541) 245-0419

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1122768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208476800000",
    "number": "1447250436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 RAMSEY AVE",
            "address_2": "SUITE B",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975275808",
            "telephone_number": "541-476-1919",
            "fax_number": "541-476-1920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "497 RAMSEY AVE",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975275681",
            "telephone_number": "541-476-1919",
            "fax_number": "541-476-1920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HATT",
        "first_name": "JASON",
        "middle_name": "M.",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-31",
        "last_updated": "2008-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "4610",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "299816",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00113583",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PACIFIC SOURCE INSURANCE",
            "identifier": "J284208",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grants Pass, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.