Individual provider Active NPI

Jason Bradly Small, DPT

  • Physical Therapist
  • Gig Harbor, WA
National Provider Identifier
1780410225
Registry record updated Sep 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT61602483 Issued in WA
Practice address
2727 Hollycroft St Ste 310
Gig Harbor, WA 98335-1312
Phone
(253) 514-6757
NPI assigned
Sep 11, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2024

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 PT61602483 WA Primary

Addresses

Primary practice location

2727 Hollycroft St Ste 310
Gig Harbor, WA 98335-1312

Mailing address

6050 Tacoma Mall Blvd Ste 300
Tacoma, WA 98409-6828

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241023001395 WA Practitioner - Physical Therapist in Private Practice 0446783997 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elevate Physical Rehabilitation Group PLLCGroup PAC ID 0941564751, 9 clinicians

Practice addresses (Care Compare)

17618 140TH Ave NE
Woodinville, WA 98072-6800
Phone (425) 402-9772

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT61602483WAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Multicare Health System CurrentSince Oct 11, 2024 Accepting new patients
Elevate Physical Rehabilitation Group PLLC Physical Therapist CurrentSince Apr 19, 2025 Accepting new patients
Multicare Health System Current Accepting new patients
Multicare Health System Physical Therapist CurrentSince Oct 11, 2024 Accepting new patients
Premier Physical Rehabilitation LLC Physical Therapist CurrentSince Apr 19, 2025 Accepting new patients
Multicare Health System Physical Therapist PastSince Sep 15, 2024 Accepting new patients

Locations

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

2727 Hollycroft St
Ste 310
Gig Harbor, WA 98335
Phone (253) 514-6757

222 State Ave N
Kent, WA 98030
Phone (253) 372-7680

26837 Maple Valley Black Diamond Rd SE
Ste 200
Maple Valley, WA 98038
Phone (425) 413-4425

17618 140th Ave NE
Woodinville, WA 98072
Phone (425) 402-9772

Organizations & group practices 6

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": "1726012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726012800000",
    "number": "1780410225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6050 TACOMA MALL BLVD STE 300",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984096828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2727 HOLLYCROFT ST STE 310",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983351312",
            "telephone_number": "253-514-6757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMALL",
        "first_name": "JASON",
        "middle_name": "BRADLY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-09-11",
        "last_updated": "2024-09-11",
        "certification_date": "2024-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT61602483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gig Harbor, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2024; 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.