Individual provider Active NPI

Jason W. Preuschoff, PT

  • Physical Therapist
  • Redlands, CA
National Provider Identifier
1659508703
Registry record updated Jun 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
1189 W State St
Redlands, CA 92373-8123
Phone
(909) 307-9121
Fax
(909) 307-9161
NPI assigned
Jun 16, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

1189 W State St
Redlands, CA 92373-8123

Mailing address

1189 W State St
Redlands, CA 92373-8123
Phone (909) 307-9121

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Outback Physiotherapy Centre, Inc. Physical Therapist PastSince Aug 12, 2009 Accepting new patients
Navy Physical Therapy P.C. Physical Therapist PastSince Feb 19, 2023 Accepting new patients
Reischl Physical Therapy, Inc. Physical Therapist PastSince Aug 1, 2001 Accepting new patients

Organizations & group practices 3

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": "1245110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245110400000",
    "number": "1659508703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1189 W STATE ST",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923738123",
            "telephone_number": "909-307-9121",
            "fax_number": "909-307-9161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1189 W STATE ST",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923738123",
            "telephone_number": "909-307-9121",
            "fax_number": "909-307-9161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PREUSCHOFF",
        "first_name": "JASON",
        "middle_name": "W.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-16",
        "last_updated": "2009-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redlands, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2009; 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.