Individual provider Active NPI

Jason Warrender, PT

  • Physical Therapist
  • Hubbard, OH
National Provider Identifier
1649209040
Registry record updated Apr 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT010060 Issued in OH
Practice address
880 W Liberty St Ste 102
Hubbard, OH 44425-1753
Phone
(330) 534-5000
Fax
(330) 568-4264
NPI assigned
Jun 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2025

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 PT015647 PA
Physical Therapist 225100000X PT010060 OH Primary

Addresses

Primary practice location

880 W Liberty St Ste 102
Hubbard, OH 44425-1753

Mailing address

1034 Grove St
Meadville, PA 16335-2945
Phone (330) 534-5000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, OH2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20250423000240 PA Practitioner - Physical Therapist in Private Practice 4981129962 Reassigns benefits to 1 organization
I20250530000837 OH Practitioner - Physical Therapist in Private Practice 4981129962 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Meadville Physician ServicesGroup PAC ID 9638078504, 26 clinicians

Practice addresses (Care Compare)

1034 Grove St
Meadville, PA 16335-2945

765 Liberty St
Suite 105
Meadville, PA 16335-2567
Phone (814) 373-2310

880 W Liberty St
Suite 102
Hubbard, OH 44425-1753
Phone (330) 534-5000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT010060OHMDPhysical Therapist
PT015647PAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Meadville Physician Services Physical Therapist CurrentSince Mar 17, 2025 Accepting new patients
Primary Care Services Past Accepting new patients

Locations

880 W Liberty St
Hubbard, OH 44425
Phone (330) 269-1916

880 W Liberty St
Ste 102
Hubbard, OH 44425
Phone (330) 534-5000

1034 Grove St
Meadville, PA 16335
Phone (814) 333-5728

765 Liberty St
Ste 105
Meadville, PA 16335
Phone (814) 373-2310

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": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743724800000",
    "number": "1649209040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1034 GROVE ST",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163352945",
            "telephone_number": "330-534-5000",
            "fax_number": "330-568-4264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 W LIBERTY ST STE 102",
            "city": "HUBBARD",
            "state": "OH",
            "postal_code": "444251753",
            "telephone_number": "330-534-5000",
            "fax_number": "330-568-4264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARRENDER",
        "first_name": "JASON",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-30",
        "last_updated": "2025-04-04",
        "certification_date": "2025-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT015647",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT010060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hubbard, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2025; 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.