Jason Magafas, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

160008192 Issued in IL

Practice address

975 N 5TH Ave
St Charles, IL 60174-1299

Phone

(630) 443-8220

NPI assigned

Sep 18, 2019

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1568764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568764800000",
    "number": "1548810849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11916 OREGON TRL",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604671226",
            "telephone_number": "708-601-1642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "975 N 5TH AVE",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601741299",
            "telephone_number": "630-443-8220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGAFAS",
        "first_name": "JASON",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-09-18",
        "last_updated": "2019-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "IL",
            "license": "160008192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Virginia P Madla, MD
• Alyssa M Madonia, BCBA
• Mary Madsen-Heskin, M.A.
• Maegan Jenkins PSYD PLLC
• Maegan Jenkins PSYD PLLC
• Rebecca Anne Magiera, LCSW, CADC
• Susie Maguire, LCPC
• Abigail Rose Mahonski, OTD, OTR/L
• Susan Marie Major, MA CCC CLP
• Ezequiel Maldonado-Vazquez

• Physical Therapy Assistant in St Charles, IL
• Providers in St Charles, IL by specialty
• Physical Therapy Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2019; 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.