Individual provider Active NPI

Jason Yaou Zhao, P.T.

  • Physical Therapist
  • Greeley, CO
National Provider Identifier
1518386499
Registry record updated Sep 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTL.0017689 Issued in CO
Practice address
6767 29TH St
Greeley, CO 80634-5474
Phone
(970) 652-2477
NPI assigned
Apr 8, 2014
Last updated
Sep 7, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
500670424MedicaidOR

Other names 1

  • Jason Yaou Zhao Other name

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

LicenseStateTypeSpecialty
60531ORMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Poudre Valley Medical Group, LLC Current Accepting new patients
Poudre Valley Medical Group, LLC CurrentSince Sep 20, 2021 Accepting new patients
Therapeutic Associates Inc Physical Therapist Past Accepting new patients
Therapeutic Associates Inc Physical Therapist PastSince Apr 21, 2014 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.

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.

Verify at the official NPI Registry.