Individual provider Active NPI

Jason C. Hinson, OTR/L

  • Occupational Therapist
  • Middletown, OH
National Provider Identifier
1780994756
Registry record updated May 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT011134 Issued in OH
Practice address
323 N Breiel Blvd
Middletown, OH 45042-3868
Phone
(513) 420-1700
Fax
(513) 420-9700
NPI assigned
Oct 8, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 264889 KY
Occupational Therapist 225X00000X 056006714 IL
Occupational Therapist 225X00000X 2001032335 MO
Occupational Therapist 225X00000X OT011134 OH Primary

Addresses

Primary practice location

323 N Breiel Blvd
Middletown, OH 45042-3868

Mailing address

2122 York Rd Ste 300
Oak Brook, IL 60523-1925
Phone (630) 575-6250

Other identifiers 2

IdentifierTypeStateIssuer
056006714OtherILILLINOIS DIVISION OF PROFESSIONAL REGULATION
2001032335OtherMOMISSOURI BOARD OF OCCUPATIONAL THERAPY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, OH, KY3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20200108002773 MO Practitioner - Occupational Therapist in Private Practice 2769817303 Reassigns benefits to 1 organization
I20200915003580 OH Practitioner - Occupational Therapist in Private Practice 2769817303 Reassigns benefits to 1 organization
I20230524001508 KY Practitioner - Occupational Therapist in Private Practice 2769817303 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Athletico LTDGroup PAC ID 4789602681, shared by 41 NPIs, 2,187 clinicians

Practice addresses (Care Compare)

323 N Breiel Blvd
Middletown, OH 45042-3868
Phone (513) 420-1700

630 Euclid Ave
Suite 140
Lexington, KY 40502-1997
Phone (859) 303-9980

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
056006714ILMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Athletico LTD CurrentSince Jun 24, 2020 Accepting new patients
Athletico, LTD Occupational Therapist CurrentSince May 8, 2023 Accepting new patients
Athletico LTD Occupational Therapist CurrentSince Jun 24, 2020 Accepting new patients
Athletico LTD Occupational Therapist Current Accepting new patients

Locations

2122 York Rd
Ste 300
Oak Brook, IL 60523
Phone (630) 575-6250

625 Enterprise Dr
Oak Brook, IL 60523
Phone (630) 575-6250

600 Oakmont Ln
Ste 600C
Westmont, IL 60559
Phone (630) 575-6250

630 Euclid Ave
Ste 140
Lexington, KY 40502
Phone (859) 303-9980

2136 William St
Ste 115
Cape Girardeau, MO 63703
Phone (573) 826-4033

913 Bolger Ct
Fenton, MO 63026
Phone (636) 305-9566

790 N Highway 67 St
Florissant, MO 63031
Phone (314) 972-1442

229 S Stewart Rd
Ste E3
Liberty, MO 64068
Phone (816) 656-3695

951 Waterbury Falls Dr
O Fallon, MO 63368
Phone (636) 336-0300

2007 W Foxwood Dr
Ste D
Raymore, MO 64083
Phone (816) 265-8116

1832 Wentzville Pkwy
Wentzville, MO 63385
Phone (636) 327-7110

323 N Breiel Blvd
Middletown, OH 45042
Phone (513) 420-1700

4925 Jackman Rd
Ste 34
Toledo, OH 43613
Phone (567) 318-1000

Interoperability endpoints

  • Direct secure messaging: jason.hinson.p2@direct.athleticoltd.nextgenshare.com

Organizations & group practices 4

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": "1286496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684368000000",
    "number": "1780994756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2122 YORK RD STE 300",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231925",
            "telephone_number": "630-575-6250",
            "fax_number": "630-575-7450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 N BREIEL BLVD",
            "city": "MIDDLETOWN",
            "state": "OH",
            "postal_code": "450423868",
            "telephone_number": "513-420-1700",
            "fax_number": "513-420-9700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HINSON",
        "first_name": "JASON",
        "middle_name": "C.",
        "name_prefix": "Mr.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-10-08",
        "last_updated": "2023-05-18",
        "certification_date": "2023-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "KY",
            "license": "264889",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056006714",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MO",
            "license": "2001032335",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OH",
            "license": "OT011134",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ILLINOIS DIVISION OF PROFESSIONAL REGULATION",
            "identifier": "056006714",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MISSOURI BOARD OF OCCUPATIONAL THERAPY",
            "identifier": "2001032335",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2023; 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.