Jason Mann, LAT

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AT4197 Issued in TX

Practice address

3602 Harwell Lake Rd
Weatherford, TX 76088-8748

Phone

(817) 341-5000

NPI assigned

Oct 9, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Peaster Independent School District

  • Local Education Agency (LEA)
  • Weatherford, TX
  • NPI 1598022436
  NPD (past)

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

{
    "created_epoch": "1696809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696809600000",
    "number": "1639950454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2048 REDEMPTION DR",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "760886417",
            "telephone_number": "940-886-6704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3602 HARWELL LAKE RD",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "760888748",
            "telephone_number": "817-341-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANN",
        "first_name": "JASON",
        "credential": "LAT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-10-09",
        "last_updated": "2023-10-09",
        "certification_date": "2023-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "TX",
            "license": "AT4197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charley D Maberry, CRNA
• Jeana Lee Anne Madrid
• Rachel Anderson Mahmud, PA-C
• Maryrita K Mallet, MD
• Erin Mikal Malone, APRN-CNP
• Crystal Manney, MS, LPC
• Cassandra Mar, DPT
• Joseph Marcum, PTA
• Mark a Tackett (Tackett Pharmacy and Nutrition Center)
• Aridahi Vianei Marquez

• Athletic Trainer in Weatherford, TX
• Providers in Weatherford, TX by specialty
• Athletic Trainer in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2023; 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.