Individual provider Active NPI

Jason Drier, PT

  • Physical Therapist
  • Porterville, CA
National Provider Identifier
1639437692
Registry record updated Apr 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT23492 Issued in CA
Practice address
25 E Thurman Ave
Porterville, CA 93257-3709
Phone
(559) 791-1778
Fax
(559) 791-1771
NPI assigned
Apr 27, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 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 PT23492 CA Primary

Addresses

Primary practice location

25 E Thurman Ave
Porterville, CA 93257-3709

Mailing address

25 E Thurman Ave
Porterville, CA 93257-3709
Phone (559) 791-1778

Other identifiers 1

IdentifierTypeStateIssuer
PT23492OtherCAPT23492

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
PT23492CAMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1335484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335484800000",
    "number": "1639437692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 E THURMAN AVE",
            "city": "PORTERVILLE",
            "state": "CA",
            "postal_code": "932573709",
            "telephone_number": "559-791-1778",
            "fax_number": "559-791-1771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 E THURMAN AVE",
            "city": "PORTERVILLE",
            "state": "CA",
            "postal_code": "932573709",
            "telephone_number": "559-791-1778",
            "fax_number": "559-791-1771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRIER",
        "first_name": "JASON",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-27",
        "last_updated": "2012-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT23492",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT23492",
            "identifier": "PT23492",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Porterville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2012; 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.