Jason D Dority

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA0000005266 Issued in TN

Practice address

608 8TH Ave E
Springfield, TN 37172-2910

Phone

(615) 384-8453

NPI assigned

Apr 17, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1523923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523923200000",
    "number": "1649767427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1003 RED OAK DR",
            "city": "GREENBRIER",
            "state": "TN",
            "postal_code": "370734661",
            "telephone_number": "615-440-8694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 8TH AVE E",
            "city": "SPRINGFIELD",
            "state": "TN",
            "postal_code": "371722910",
            "telephone_number": "615-384-8453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORITY",
        "first_name": "JASON",
        "middle_name": "D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-17",
        "last_updated": "2018-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "KY",
            "license": "A02948",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TN",
            "license": "PTA0000005266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sonyvette Diaz
• Madison Dillon
• Ashley Dodd, OTR/L
• Donald J. Boatright MD., PC
• Barry T Dority
• Kristin Thomas Dorris, MS, CCC-SLP
• Mysti Drinkwater, OTR/L
• DRS. Reed & Wilkerson
• Lori Leeann Duncan
• Zeva Ruth Edmondson

• Physical Therapy Assistant in Springfield, TN
• Providers in Springfield, TN by specialty
• Physical Therapy Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2018; 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.