Jason L Gardner, MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

3379 Issued in NM

Practice address

W 4824 McMahon Blvd NW
Suite 101
Albuquerque, NM 87114

Phone

(505) 897-3537

Fax

(505) 897-3726

NPI assigned

Feb 21, 2008

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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.

• Armada Physical Therapy of Albuquerque LLC

  • Multi-Specialty Clinic/Center
  • Albuquerque, NM
  • NPI 1851713663
  NPD (past)
• Rio Rancho Physical Therapy

  • Orthopedic Physical Therapist
  • Rio Rancho, NM
  • NPI 1104869387
  NPD (past)

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

{
    "created_epoch": "1203552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203552000000",
    "number": "1669641973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4445 DESERT LILY CT SE",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871241562",
            "telephone_number": "505-385-5080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "W 4824 MCMAHON BLVD NW",
            "address_2": "SUITE 101",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "87114",
            "telephone_number": "505-897-3537",
            "fax_number": "505-897-3726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARDNER",
        "first_name": "JASON",
        "middle_name": "L",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-21",
        "last_updated": "2008-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NM",
            "license": "3379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ann McKissick Gardener, LISW
• Jonni K Gardey, AU.D.
• Adam Glenn Gardner, DC
• Christina Gardner, RN
• Elizabeth Ruth Gardner, CCNS
• Julia Herrera Gardner, LPCC, LADAC
• Kaitlin Rose Gardner
• Katie L Gardner, D.O.
• Mary Gardner, CNNP
• Michael Rae Gardner, MD

• Physical Therapist in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Physical Therapist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2008; 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.