Active NPI
Jason Layne Harper, DPT
- Physical Therapist
- St George, UT
National Provider Identifier
1700447612
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 11936802-2401
- Practice address
- 792 S 3000 E Ste 104
St George, UT 84790-1801 - Phone
- (208) 431-0211
- NPI assigned
- Jun 23, 2019
- Last updated
- Sep 28, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | LPT-30238 | AZ | |
| Physical Therapist | 225100000X | 11936802-2401 | UT | Primary |
Addresses
Primary practice location
792 S 3000 E Ste 104
St George, UT 84790-1801
Mailing address
792 S 3000 E Ste 104
St George, UT 84790-1801
Phone (208) 431-0211
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
792 S 3000
St George, UT 84790-1800
Phone (208) 431-0211
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPT-30238 | AZ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fortify Physical Therapy PLLC | Physical Therapist | Current | Accepting new patients |
| Fortify Physical Therapy PLLC | Current | Accepting new patients |
Locations
792 S 3000 E
Ste 104
St George, UT 84790
Phone (208) 431-0211
792 S 3000 E
St George, UT 84790
Phone (208) 431-0211
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Orthopedic Physical Therapist
- St George, UT
- NPI 1730777962
-
- Physical Therapy Clinic/Center
- St George, UT
- NPI 1184290348
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1561248000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664323200000",
"number": "1700447612",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "792 S 3000 E STE 104",
"city": "ST GEORGE",
"state": "UT",
"postal_code": "847901801",
"telephone_number": "208-431-0211",
"fax_number": "435-355-3759"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "792 S 3000 E STE 104",
"city": "ST GEORGE",
"state": "UT",
"postal_code": "847901801",
"telephone_number": "208-431-0211"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARPER",
"first_name": "JASON",
"middle_name": "LAYNE",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-06-23",
"last_updated": "2022-09-28",
"certification_date": "2022-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": "LPT-30238",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "UT",
"license": "11936802-2401",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St George, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2022; 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.