Individual provider Active NPI

Jared T Rummage, PT

  • Physical Therapist
  • Prescott, AZ
National Provider Identifier
1568636546
Registry record updated Aug 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
4370 Issued in AZ
Practice address
1983 Commerce Center Circle
Prescott, AZ 86301
Phone
(928) 771-1700
Fax
(928) 771-9900
NPI assigned
Apr 21, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2012

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 4370 AZ Primary

Addresses

Primary practice location

1983 Commerce Center Circle
Prescott, AZ 86301

Mailing address

1983 Commerce Center Circle
Prescott, AZ 86301
Phone (928) 771-1700

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090918000180 AZ Practitioner - Physical Therapist in Private Practice 1456407378 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bio Mechanics LLCGroup PAC ID 6002962925, 2 clinicians

Practice addresses (Care Compare)

1983 Commerce Ctr Cir
Prescott, AZ 86301-4454
Phone (928) 771-1700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4370AZMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Bio Mechanics LLC Physical Therapist CurrentSince Aug 1, 2009 Accepting new patients

Locations

1983 Commerce Center Cir
Prescott, AZ 86301
Phone (928) 771-1700

Organizations & group practices 1

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": "1208736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346198400000",
    "number": "1568636546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1983 COMMERCE CENTER CIRCLE",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "86301",
            "telephone_number": "928-771-1700",
            "fax_number": "928-771-9900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1983 COMMERCE CENTER CIRCLE",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "86301",
            "telephone_number": "928-771-1700",
            "fax_number": "928-771-9900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUMMAGE",
        "first_name": "JARED",
        "middle_name": "T",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-21",
        "last_updated": "2012-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "4370",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prescott, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.