Jonathan Edward Fass, PT, DPT

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

J1-0002475 Issued in DE

Practice address

053 McKinly Lab
Newark, DE 19716

Phone

(302) 831-8893

NPI assigned

Jun 9, 2009

Last updated

Jun 9, 2009By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA, DE2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Elite PT LLCGroup PAC ID 7315032711, 17 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

84.98 of 100Reported as group

Quality

80.05

Improvement activities

40

Cost

76.54

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Elite PT LLC

  • Physical Therapist
  • Wilmington, DE
  • NPI 1063684041
  Medicare reassignment Care Compare group NPD
• Performance Physical Therapy, Inc

  • Physical Therapy Clinic/Center
  • Hockessin, DE
  • NPI 1659581130
  Medicare reassignment NPD
• Orthopedic and Sports Physical Therapy Services, Inc.

  dba Excel Physical Therapy

  • Physical Therapist
  • Philadelphia, PA
  • NPI 1588661235
  Medicare reassignment NPD
• Elite PT LLC

  • Orthopedic Physical Therapist
  • Wilmington, DE
  • NPI 1811482599
  NPD
• Elite Therapy Solutions, LLC

  dba PRO Physical Therapy

  • Physical Therapist
  • Winchester, VA
  • NPI 1225833726
  NPD
• Elite Therapy Solutions, LLC

  • Physical Therapist
  • West Chester, PA
  • NPI 1598346314
  NPD

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

{
    "created_epoch": "1244505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1244505600000",
    "number": "1609002344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "053 MCKINLY LAB",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "19716",
            "telephone_number": "302-831-8893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "053 MCKINLY LAB",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "19716",
            "telephone_number": "302-831-8893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FASS",
        "first_name": "JONATHAN",
        "middle_name": "EDWARD",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-09",
        "last_updated": "2009-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "DE",
            "license": "J1-0002475",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF DELAWARE",
            "identifier": "J1-0002475",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Parastoo Farhady, MD
• Amanda Marie Farina, MSN, FNP-BC
• Shoheb A. Farooqui, MD
• Megan Bayliff Farraj, PHARM.D.
• Amy Marie Farrall, O.D.
• Fataneh M Ziari, MD, PA
• Usha Fatunmbi
• Kalyn Fauntleroy
• Mallory Faust, APRN, PMHNP-BC
• Kelsey Taylor Faux-Dugan

• Physical Medicine & Rehabilitation Physician in Newark, DE
• Providers in Newark, DE by specialty
• Physical Medicine & Rehabilitation Physician in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2009; 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.