Jason D Waz, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT14087 Issued in FL

Practice address

640 Brooker Creek Blvd
Suite 425
Oldsmar, FL 34677-2929

Phone

(813) 849-0150

Fax

(813) 849-0151

NPI assigned

Dec 27, 2006

Sex

Male

Sole proprietor

No

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

Enrolled in FL

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Competitive Edge Performance Inc

  • Physical Therapy Clinic/Center
  • Tampa, FL
  • NPI 1215124409
  Medicare reassignment NPD

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201132800000",
    "number": "1487719639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 BROOKER CREEK BLVD",
            "address_2": "SUITE 425",
            "city": "OLDSMAR",
            "state": "FL",
            "postal_code": "346772929",
            "telephone_number": "813-849-0150",
            "fax_number": "813-849-0151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 BROOKER CREEK BLVD",
            "address_2": "SUITE 425",
            "city": "OLDSMAR",
            "state": "FL",
            "postal_code": "346772929",
            "telephone_number": "813-849-0150",
            "fax_number": "813-849-0151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAZ",
        "first_name": "JASON",
        "middle_name": "D",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-27",
        "last_updated": "2008-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT14087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wal-Mart Stores East LP
• Wal-Mart Stores East, LP
• Walesby Vision Center P a
• Walgreen Co
• Jason D Wallace, BCBA
• We Care You Case Management Services LLC
• Kathryn Webb, PMHNP-BC
• West Coast Auditory Processing Center
• West Coast Dental Partners
• West Florida Ophthalmology Inc

• Physical Therapist in Oldsmar, FL
• Providers in Oldsmar, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 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.