Active NPI
Jason Yaou Zhao, P.T.
- Physical Therapist
- Greeley, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PTL.0017689
- Practice address
- 6767 29TH St
Greeley, CO 80634-5474 - Phone
- (970) 652-2477
- NPI assigned
- Apr 8, 2014
- Last updated
- Sep 7, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 60531 | OR | |
| Physical Therapist | 225100000X | PTL.0017689 | CO | Primary |
Addresses
Primary practice location
6767 29TH St
Greeley, CO 80634-5474
Mailing address
1405 16TH Ave
Greeley, CO 80631-4534
Phone (302) 345-0015
Other practice location 1
4876 NW Bethany Blvd
Ste. L-1
Portland, OR 97229-9259
Phone (503) 466-2254
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500670424 | Medicaid | OR |
Other names 1
- Jason Yaou Zhao
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60531 | OR | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Poudre Valley Medical Group, LLC | Current | Accepting new patients | |
| Poudre Valley Medical Group, LLC | Current | Accepting new patients | |
| Therapeutic Associates Inc | Physical Therapist | Past | Accepting new patients |
| Therapeutic Associates Inc | Physical Therapist | Past | Accepting new patients |
| Therapeutic Associates Inc | Physical Therapist | Past | Accepting new patients |
Locations
6767 29th St
Greeley, CO 80634
Phone (970) 652-2000
2695 Rocky Mountain Ave
Ste 150
Loveland, CO 80538
Phone (970) 624-2412
Organizations & group practices 5
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.
-
dba UCHealth Medical Group
- General Practice Physician
- Loveland, CO
- NPI 1225356868
-
dba UCHealth Medical Group
- General Practice Physician
- Loveland, CO
- NPI 1366763260
-
dba TAI Downtown Portland Physical Therapy
- Physical Therapist
- Portland, OR
- NPI 1679559967
-
dba TAI Cedar Hills Physical Therapy
- Physical Therapist
- Portland, OR
- NPI 1700862000
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1396915200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630972800000",
"number": "1518386499",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1405 16TH AVE",
"city": "GREELEY",
"state": "CO",
"postal_code": "806314534",
"telephone_number": "302-345-0015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6767 29TH ST",
"city": "GREELEY",
"state": "CO",
"postal_code": "806345474",
"telephone_number": "970-652-2477"
}
],
"practiceLocations": [
{
"address_1": "4876 NW Bethany Blvd",
"address_2": "Ste. L-1",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "OR",
"postal_code": "972299259",
"country_code": "US",
"telephone_number": "503-466-2254",
"fax_number": "503-466-1143",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ZHAO",
"first_name": "JASON",
"middle_name": "YAOU",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-04-08",
"last_updated": "2021-09-07",
"certification_date": "2021-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OR",
"license": "60531",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CO",
"license": "PTL.0017689",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "500670424",
"state": "OR"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JASON",
"last_name": "ZHAO",
"middle_name": "YAOU",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Greeley, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.