Individual provider Active NPI

Jason P Soncrant, PT, SCS, CSCS

  • Physical Therapist
  • Toledo, OH
National Provider Identifier
1528008398
Registry record updated Dec 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT07232 Issued in OH
Practice address
2865 N Reynolds Rd
Toledo, OH 43615-2068
Phone
(419) 578-7530
Fax
(419) 539-0288
NPI assigned
Jun 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT07232 OH Primary

Addresses

Primary practice location

2865 N Reynolds Rd
Toledo, OH 43615-2068

Mailing address

2865 N Reynolds Rd
Toledo, OH 43615-2068
Phone (419) 578-7530

Other identifiers 2

IdentifierTypeStateIssuer
290521271005OtherMMO
000000168697OtherANTHEM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040128000221 OH Practitioner - Physical Therapist in Private Practice 5890698914 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT07232OHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Novacare Rehabilitation of Ohio Inc Physical Therapist CurrentSince Nov 28, 2016 Accepting new patients
Novacare Rehabilitation of Ohio, Inc. Physical Therapist CurrentSince Nov 28, 2016 Accepting new patients
Ohio Orthopaedics & Sports Medicine Inc Past Accepting new patients
Healtherapy Partners Inc Physical Therapist Past Accepting new patients
Novacare Rehabilitation of Ohio Inc Past Accepting new patients
J&K Pain Management Company LLC Past Accepting new patients

Locations

373 Center St
Ste D
Chardon, OH 44024
Phone (440) 286-1688

803 E Washington St
Ste 130
Medina, OH 44256
Phone (330) 725-4200

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197849600000",
    "number": "1528008398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2865 N REYNOLDS RD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436152068",
            "telephone_number": "419-578-7530",
            "fax_number": "419-539-0288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2865 N REYNOLDS RD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436152068",
            "telephone_number": "419-578-7530",
            "fax_number": "419-539-0288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SONCRANT",
        "first_name": "JASON",
        "middle_name": "P",
        "credential": "PT, SCS, CSCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2007-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT07232",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MMO",
            "identifier": "290521271005",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000168697",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2007; 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.