Individual provider Active NPI

Jason Xavier Prado

  • Physical Therapist
  • Tampa, FL
National Provider Identifier
1639897267
Registry record updated Aug 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1394452 Issued in TX
Practice address
2764 E Fowler Ave
Tampa, FL 33612-6277
Phone
(571) 239-4883
NPI assigned
Aug 19, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1394452 TX Primary
Physical Medicine & Rehabilitation Physician 208100000X 39229 FL

Addresses

Primary practice location

2764 E Fowler Ave
Tampa, FL 33612-6277

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, TX, MO3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20231023001458 FL Practitioner - Physical Therapist in Private Practice 9638525918 Reassigns benefits to 1 organization
I20240722003535 TX Practitioner - Physical Therapist in Private Practice 9638525918 Reassigns benefits to 1 organization
I20240916001483 MO Practitioner - Physical Therapist in Private Practice 9638525918 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
85.56 of 100Reported as group
Quality
89.48
Improvement activities
40
Cost
71.16

Merit-based Incentive Payment System (MIPS)

Final score
86.09 of 100Reported as group
Quality
89.13
Improvement activities
40
Cost
73.57

Merit-based Incentive Payment System (MIPS)

Final score
86.04 of 100Reported as group
Quality
90
Improvement activities
40
Cost
71.81

Merit-based Incentive Payment System (MIPS)

Final score
83.26 of 100Reported as group
Quality
86.58
Improvement activities
40
Cost
68.79

Merit-based Incentive Payment System (MIPS)

Final score
85.61 of 100Reported as group
Quality
90
Improvement activities
40
Cost
70.36

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
39229FLMDPhysical Medicine & Rehabilitation Physician
1394452TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ideal Physical Therapy of Texas LLC CurrentSince Jun 25, 2024 Accepting new patients
Ideal Physical Therapy of Texas LLC Physical Therapist CurrentSince Jun 25, 2024 Accepting new patients
Total Health of Wesley Chapel Inc CurrentSince Oct 1, 2023 Accepting new patients
Athletic and Therapeutic Institute of Bourbonnais, LLC Physical Therapist Current Accepting new patients
Community Rehab of Iowa LLC Physical Therapist CurrentSince Aug 5, 2024 Accepting new patients
Ati Holdings of Arizona, LLC Physical Therapist CurrentSince Jun 17, 2024 Accepting new patients
Athletic & Therapeutic Institute of Milwaukee, LLC Physical Therapist CurrentSince Sep 1, 2024 Accepting new patients
Athletic & Therapeutic Institute of Milwaukee, LLC Physical Therapist CurrentSince Sep 1, 2024 Accepting new patients
Ati Holdings of Alabama, LLC Physical Therapist CurrentSince Jun 3, 2024 Accepting new patients
Community Rehab of Iowa LLC Physical Therapist CurrentSince Aug 5, 2024 Accepting new patients
Athletic & Therapeutic Institute of Milwaukee, LLC Physical Therapist Current Accepting new patients
MCM Rehabilitation, LLC. Physical Therapist CurrentSince Aug 21, 2024 Accepting new patients
Athletic and Therapeutic Institute of Bourbonnais, LLC Physical Therapist CurrentSince Aug 14, 2024 Accepting new patients
Ati Holdings Missouri, LLC Physical Therapist CurrentSince Sep 1, 2024 Accepting new patients
Wesley Chapel Spine & Rehab LLC Physical Medicine & Rehabilitation CurrentSince Oct 1, 2023 Accepting new patients
Community Rehab LLC Physical Therapist CurrentSince Aug 9, 2024 Accepting new patients
FLS Physical Therapy Associates PC Physical Therapist CurrentSince Sep 1, 2024 Accepting new patients
Athletic & Therapeutic Institute of Bourbonnais, LLC Physical Therapist CurrentSince Aug 14, 2024 Accepting new patients
MCM Rehabilitation LLC CurrentSince Aug 21, 2024 Accepting new patients
Ideal Rehabilitation LLC PastSince Jun 17, 2024 Accepting new patients

Locations (25 of 26)

9256 Parkway E
Ste A
Birmingham, AL 35206
Phone (205) 855-2003

1877 Cherokee Ave SW
Cullman, AL 35055
Phone (256) 727-1701

1485 E Florence Blvd
Ste 105
Casa Grande, AZ 85122
Phone (520) 494-3058

11209 N Tatum Blvd
Ste B120
Phoenix, AZ 85028
Phone (602) 595-0204

5110 S Rural Rd
Ste 104
Tempe, AZ 85282
Phone (480) 629-5549

1020 S Harrison Rd
Unit 120
Tucson, AZ 85748
Phone (520) 207-6288

20433 Bruce B Downs Blvd
Tampa, FL 33647
Phone (813) 994-0151

3111 Gordon Dr
Sioux City, IA 51105
Phone (712) 277-0507

383 W Army Trail Rd
Ste 100
Bloomingdale, IL 60108
Phone (630) 924-0367

790 Remington Blvd
Bolingbrook, IL 60440

1275 N Convent St
Ste 3
Bourbonnais, IL 60914
Phone (815) 936-1855

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

4947 Payshere Cir
Chicago, IL 60674

2081 Ridge Rd
Ste 101
Minooka, IL 60447
Phone (815) 467-1612

4418 Telegraph Rd
Saint Louis, MO 63129
Phone (314) 894-2222

410 E 22nd St
Fremont, NE 68025
Phone (402) 721-3908

6103 N 72nd St
Omaha, NE 68134
Phone (402) 408-0931

1354 State Route 36
Hazlet, NJ 07730
Phone (732) 264-2233

1630 McCallie Ave
Chattanooga, TN 37404
Phone (423) 698-5590

2125 Northpoint Blvd
Hixson, TN 37343
Phone (423) 875-3367

17051 Dallas Pkwy
Ste 450
Addison, TX 75001
Phone (214) 272-8561

4100 Fairway Dr
Ste 400
Carrollton, TX 75010
Phone (972) 394-3325

4015 Lemmon Ave
Dallas, TX 75219
Phone (469) 872-7461

2600 W 7th St
Ste 137
Fort Worth, TX 76107
Phone (682) 233-6462

5400 Brodie Ln
Ste 295
Sunset Valley, TX 78745
Phone (512) 676-3949

Organizations & group practices 20

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.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1660867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723420800000",
    "number": "1639897267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2764 E FOWLER AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336126277",
            "telephone_number": "571-239-4883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRADO",
        "first_name": "JASON",
        "middle_name": "XAVIER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-08-19",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1394452",
            "primary": true
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "FL",
            "license": "39229",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2024; 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.