Active NPI
Jason Reeder
- Physical Therapist
- Anchorage, AK
National Provider Identifier
1598033292
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT60865173
- Practice address
- 1000 E 4TH Ave
Anchorage, AK 99501-2716 - Phone
- (907) 762-8664
- NPI assigned
- Dec 8, 2011
- Last updated
- Aug 19, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT60865173 | WA | Primary |
Addresses
Primary practice location
1000 E 4TH Ave
Anchorage, AK 99501-2716
Mailing address
2532 W Francis Ave
Spokane, WA 99205-7012
Phone (509) 465-4799
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT60865173 | WA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anchorage Community Mental Health | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Behavioral Health Agency
- Anchorage, AK
- NPI 1720335524
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1323302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566172800000",
"number": "1598033292",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2532 W FRANCIS AVE",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992057012",
"telephone_number": "509-465-4799",
"fax_number": "509-343-3033"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 E 4TH AVE",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995012716",
"telephone_number": "907-762-8664"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REEDER",
"first_name": "JASON",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-12-08",
"last_updated": "2019-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT60865173",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Anchorage, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 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.