Active NPI
Jason Booker, PT
- Physical Therapist
- Warrenton, VA
National Provider Identifier
1639618549
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2305210841
- Practice address
- 251 W Lee Hwy Ste 193
Warrenton, VA 20186-2047 - Phone
- (540) 466-3883
- Fax
- (540) 739-7474
- NPI assigned
- Feb 13, 2017
- 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 | 2305210841 | VA | Primary |
Addresses
Primary practice location
251 W Lee Hwy Ste 193
Warrenton, VA 20186-2047
Mailing address
350 New Fidelity CT
Garner, NC 27529-2665
Phone (919) 756-3107
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 |
|---|---|---|---|
| 2305210841 | VA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Professional Sportscare & Rehab, LLC | Physical Therapist | 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 and National Provider Directory roles.
-
- Physical Therapist
- Woodbridge, VA
- NPI 1548714959
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1486944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613952000000",
"number": "1639618549",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "350 NEW FIDELITY CT",
"city": "GARNER",
"state": "NC",
"postal_code": "275292665",
"telephone_number": "919-756-3107",
"fax_number": "919-535-3271"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "251 W LEE HWY STE 193",
"city": "WARRENTON",
"state": "VA",
"postal_code": "201862047",
"telephone_number": "540-466-3883",
"fax_number": "540-739-7474"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOOKER",
"first_name": "JASON",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-02-13",
"last_updated": "2021-02-22",
"certification_date": "2021-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305210841",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Warrenton, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.