Individual provider Active NPI

Jason Hammock, PTA

  • Physical Therapy Assistant
  • Carrollton, TX
National Provider Identifier
1487002499
Registry record updated Jun 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
2121728 Issued in TX
Practice address
2024 Topaz Dr
Carrollton, TX 75010-4511
Phone
(214) 493-1868
NPI assigned
May 31, 2016
Last updated
Jun 18, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 2121728 TX Primary

Addresses

Primary practice location

2024 Topaz Dr
Carrollton, TX 75010-4511

Mailing address

PO Box 116640
Carrollton, TX 75011-6640
Phone (214) 493-1868

Other practice location 1

4230 Fairway Dr Apt 2105
Carrollton, TX 75010-3289
Phone (214) 493-1868

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2121728TXMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Therapy Solutions CurrentSince Jul 17, 2022 Accepting new patients

Organizations & group practices 1

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": "1464652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655510400000",
    "number": "1487002499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 116640",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750116640",
            "telephone_number": "214-493-1868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2024 TOPAZ DR",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750104511",
            "telephone_number": "214-493-1868"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4230 Fairway Dr Apt 2105",
            "address_purpose": "LOCATION",
            "city": "Carrollton",
            "state": "TX",
            "postal_code": "750103289",
            "country_code": "US",
            "telephone_number": "214-493-1868",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAMMOCK",
        "first_name": "JASON",
        "name_prefix": "Mr.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-31",
        "last_updated": "2022-06-18",
        "certification_date": "2022-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2121728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carrollton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2022; 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.