Jason Adam Petz, P.T.A.

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

8038A Issued in AZ

Practice address

2945 W Ina Rd
Suite 101
Tucson, AZ 85741-2350

Phone

(520) 219-5553

Fax

(520) 219-5559

NPI assigned

Sep 10, 2010

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": "1284076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284076800000",
    "number": "1578870697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5501 N ORACLE RD",
            "address_2": "SUITE 101",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857043829",
            "telephone_number": "520-293-5551",
            "fax_number": "520-293-6638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2945 W INA RD",
            "address_2": "SUITE 101",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857412350",
            "telephone_number": "520-219-5553",
            "fax_number": "520-219-5559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETZ",
        "first_name": "JASON",
        "middle_name": "ADAM",
        "credential": "P.T.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-09-10",
        "last_updated": "2010-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "AZ",
            "license": "8038A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dyer William Pettijohn, MD
• Brandon Angus Pettit, MD
• Jessie Marie Pettit, MD
• Randall Berwin Pettit, LMSW
• Cassandra Petty
• Margaret Jean Petz
• Erica Peuschold, RN
• Laura N. Pew, M.S.W.
• Anika Pewlee, MD
• Efren Quijada Peyron, D.D.S.

• Physical Therapy Assistant in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Physical Therapy Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2010; 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.