Individual provider Active NPI

Jason Richard Ball, DPT

  • Physical Therapist
  • Colorado Springs, CO
National Provider Identifier
1609054717
Registry record updated Apr 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
9515 Issued in CO
Practice address
328 Main St
Colorado Springs, CO 80911-1713
Phone
(719) 392-7777
Fax
(719) 392-7783
NPI assigned
Jan 31, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2014

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 9515 CO Primary

Addresses

Primary practice location

328 Main St
Colorado Springs, CO 80911-1713

Mailing address

2233 Academy PL
Suite 50
Colorado Springs, CO 80909-1696
Phone (719) 475-0808

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

LicenseStateTypeSpecialty
9515COMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Total Function Physical Therapy, PC Physical Therapist PastSince Aug 1, 2021 Accepting new patients
Total Function Physical Therapy, PC Physical Therapist PastSince Aug 5, 2015 Accepting new patients

Organizations & group practices 2

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": "1201737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398729600000",
    "number": "1609054717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2233 ACADEMY PL",
            "address_2": "SUITE 50",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809091696",
            "telephone_number": "719-475-0808",
            "fax_number": "719-475-8822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "328 MAIN ST",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809111713",
            "telephone_number": "719-392-7777",
            "fax_number": "719-392-7783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALL",
        "first_name": "JASON",
        "middle_name": "RICHARD",
        "name_prefix": "Mr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-31",
        "last_updated": "2014-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "9515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2014; 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.