Jason King, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

LA06720 Issued in LA

Practice address

770 Gause Blvd
Suite F
Slidell, LA 70458-2855

Phone

(985) 649-9123

Fax

(985) 649-9129

NPI assigned

Mar 14, 2006

Last updated

Jan 12, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Enrolled in LA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Renew Physical Therapy, LLCGroup PAC ID 9234227919, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Renew Physical Therapy, LLC

  • Physical Therapist
  • Covington, LA
  • NPI 1699967992
  Medicare reassignment Care Compare group NPD
• Peak Performance Physical Therapy Limited Partnership

  • Physical Therapist
  • Baton Rouge, LA
  • NPI 1770166886
  Medicare reassignment NPD
• Peak Performance Physical Therapy Limited Partnership

  • Durable Medical Equipment & Medical Supplies
  • Baton Rouge, LA
  • NPI 1376117069
  NPD
• Pelican State Physical Therapy Limited Partnership

  • Durable Medical Equipment & Medical Supplies
  • Slidell, LA
  • NPI 1265647622
  NPD (past)
• Pelican State Physical Therapy Limited Partnership

  dba Audubon Physical Therapy

  • Physical Therapy Clinic/Center
  • Slidell, LA
  • NPI 1457386682

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263254400000",
    "number": "1659349769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "770 GAUSE BLVD",
            "address_2": "SUITE F",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704582855",
            "telephone_number": "985-649-9123",
            "fax_number": "985-649-9129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 GAUSE BLVD",
            "address_2": "SUITE F",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704582855",
            "telephone_number": "985-649-9123",
            "fax_number": "985-649-9129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "JASON",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-14",
        "last_updated": "2010-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "LA06720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madison Kimbrell
• Kindl Works LLC
• Kindl Works, LLC (OrthoLouisiana)
• Brian Thomas Kindl, M.D.
• Elizabeth Shantell King
• Jeannette Marie King, PHARMD
• Maggie King
• Yvette Anita King, PHARM.D/MPH
• Craig L Kingrea, PT
• Zane Ashton Kirby, PA-C

• Physical Therapist in Slidell, LA
• Providers in Slidell, LA by specialty
• Physical Therapist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2010; 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.