Jarrod Sampson Basham, LPTA, BS

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2306603933 Issued in VA

Practice address

8900 Three Chopt Rd
Richmond, VA 23229-4615

Phone

(804) 288-0033

Fax

(804) 288-0035

NPI assigned

Apr 22, 2015

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)

Not enrolled

Credentials

Bachelor of Science

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 and National Provider Directory roles.

• Paradise Home Care, Inc.

  • Home Health Agency
  • North Chesterfield, VA
  • NPI 1871652735
  NPD

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

{
    "created_epoch": "1429660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574380800000",
    "number": "1760879209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8900 THREE CHOPT RD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232294615",
            "telephone_number": "804-288-0033",
            "fax_number": "804-288-0035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8900 THREE CHOPT RD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232294615",
            "telephone_number": "804-288-0033",
            "fax_number": "804-288-0035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASHAM",
        "first_name": "JARROD",
        "middle_name": "SAMPSON",
        "name_prefix": "Mr.",
        "credential": "LPTA, BS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-22",
        "last_updated": "2019-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "VA",
            "license": "2306603933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michele Hiatt Bartz, M.A. CCC-SLP
• Hallel Paraluman Maullon Basco, FNP-C, RN
• Mary Evan Janine Basco
• Baseline Psychology LLC
• Basma Basha, M.D.
• Elizabeth Bashian, MD
• Azhar Bashir
• Alexandra Michelle Bashkoff, MSW, LCSW
• Puneet Basi
• Sean Baskerville

• Physical Therapy Assistant in Richmond, VA
• Providers in Richmond, VA by specialty
• Physical Therapy Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2019; 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.