Individual provider Active NPI

Jason Layne Harper, DPT

  • Physical Therapist
  • St George, UT
National Provider Identifier
1700447612
Registry record updated Sep 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11936802-2401 Issued in UT
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, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20210428001892 UT Practitioner - Physical Therapist in Private Practice 6406282326 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
LPT-30238AZMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Fortify Physical Therapy PLLC Physical Therapist CurrentSince Feb 9, 2021 Accepting new patients
Fortify Physical Therapy PLLC CurrentSince Jun 22, 2021 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.

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.

Verify at the official NPI Registry.