Individual provider Active NPI

Jason Ric Tolentino

  • Physical Medicine & Rehabilitation Physician
  • Bethlehem, PA
National Provider Identifier
1528528593
Registry record updated Mar 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
PT021780 Issued in PA
Practice address
4035 Green Pond Rd
Bethlehem, PA 18020-9662
Phone
(610) 865-5580
NPI assigned
Mar 25, 2019
Last updated
Mar 25, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X PT021780 PA Primary

Addresses

Primary practice location

4035 Green Pond Rd
Bethlehem, PA 18020-9662

Mailing address

608 Stocker St
Stewartsville, NJ 08886-3238
Phone (908) 247-0664

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210722002358 PA Practitioner - Physical Therapist in Private Practice 9436552833 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT021780PAMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
H2 Rehabilitation Extension Services LLC CurrentSince Jun 1, 2025 Accepting new patients
H2 Rehabilitation Extension Services, LLC Current Accepting new patients
H2 Rehabilitation Extension Services LLC Past Accepting new patients
H2 Health and Rehabilitation Services, LLC Past Accepting new patients
H2 Rehabilitation Extension Services LLC Past Accepting new patients
H2 Rehabilitation Extension Services, LLC Past Accepting new patients
H2 Rehabilitation Extension Services, LLC Past Accepting new patients
H2 Rehabilitation Extension Services, LLC Past Accepting new patients

Locations

137 Montgomery Ave
Ste 205
Boyertown, PA 19512
Phone (484) 658-3150

2733 State Route 45
Ste 6
Milton, PA 17847
Phone (570) 955-3940

7 S New St
Ste 1
Nazareth, PA 18064
Phone (610) 755-8634

1948 E 3rd St
Ste C5
Williamsport, PA 17701

Organizations & group practices 8

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": "1553472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553472000000",
    "number": "1528528593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608 STOCKER ST",
            "city": "STEWARTSVILLE",
            "state": "NJ",
            "postal_code": "088863238",
            "telephone_number": "908-247-0664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4035 GREEN POND RD",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180209662",
            "telephone_number": "610-865-5580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOLENTINO",
        "first_name": "JASON",
        "middle_name": "RIC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-03-25",
        "last_updated": "2019-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "PA",
            "license": "PT021780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethlehem, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2019; 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.