Jason Charles Granger, P. T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

04808R Issued in LA

Practice address

1200 S Farmerville St
Ruston, LA 71270-5941

Phone

(318) 251-6103

Fax

(318) 251-6141

NPI assigned

Aug 18, 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

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Northeast Louisiana RehabilitationGroup PAC ID 8123315025, 6 clinicians

Rock Island Physical Therapy, LLCGroup PAC ID 0749600831, 2 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

81.51 of 100Reported as apm

Quality

60.04

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

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.

• Northeast Louisiana Rehabilitation

  • Physical Therapist
  • Farmerville, LA
  • NPI 1417349929
  Medicare reassignment Care Compare group NPD
• Rock Island Physical Therapy, LLC

  • Physical Therapist
  • Ruston, LA
  • NPI 1073124087
  Medicare reassignment Care Compare group NPD
• Northeast Louisiana Rehabilitation

  • Physical Therapist
  • West Monroe, LA
  • NPI 1003631169
  NPD
• CLHG-Ruston LLC

  • Family Medicine Physician
  • Ruston, LA
  • NPI 1942181276
  NPD (past)

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1508970625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1594",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712731594",
            "telephone_number": "318-251-6103",
            "fax_number": "318-251-6141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 S FARMERVILLE ST",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712705941",
            "telephone_number": "318-251-6103",
            "fax_number": "318-251-6141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANGER",
        "first_name": "JASON",
        "middle_name": "CHARLES",
        "name_prefix": "Mr.",
        "credential": "P. T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "04808R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1006858",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LA PROVIDER #",
            "identifier": "1599492",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deja Mone Gore
• Nichelle Goree
• Bionca Gould
• Jamekia Graham
• Mary Hollis Graham, M.S., CCC-SLP
• Megan Grant
• Alexis Gray, RD, LDN
• Latrice Gray
• Rel Larkin Gray, MD
• Green Clinic LLC

• Physical Therapist in Ruston, LA
• Providers in Ruston, LA by specialty
• Physical Therapist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.