Jason Petrash

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

0013142 Issued in CO

Practice address

4102 Pinion Dr
Usaf Academy, CO 80840-2502

Phone

(719) 333-5055

NPI assigned

Nov 19, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1384819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384819200000",
    "number": "1477983021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7865 CONIFER DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809204554",
            "telephone_number": "719-290-1965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4102 PINION DR",
            "city": "USAF ACADEMY",
            "state": "CO",
            "postal_code": "808402502",
            "telephone_number": "719-333-5055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETRASH",
        "first_name": "JASON",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-11-19",
        "last_updated": "2013-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CO",
            "license": "0013142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Beth Paulson, PA-C
• Anthony Kenneth Peck, ATC
• Thomas Gerhard Pelkmann, MD
• Nancy Gail Perry, DDS
• Amy Suzanne Peterson, MS, RD
• Ashley Z Pierce, ATC, CSCS
• Satej Ranjit Pradhan, DO
• Ellie Prinster, PT, DPT, OCS
• Thomas John Puskas, D.O.
• Taryn Ramsey, D.O.

• Physical Therapy Assistant in Usaf Academy, CO
• Providers in Usaf Academy, CO by specialty
• Physical Therapy Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2013; 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.