Active NPI
Jason Rea, P.T.
- Physical Therapist
- Austin, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1207937
- Practice address
- 2501 W William Cannon Dr BLDG 1, Suite 102
Austin, TX 78745-5281 - Phone
- (512) 651-0301
- Fax
- (512) 651-0305
- NPI assigned
- Jul 5, 2011
- Last updated
- Nov 25, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1207937 | TX | Primary |
Addresses
Primary practice location
2501 W William Cannon Dr BLDG 1, Suite 102
Austin, TX 78745-5281
Mailing address
2001 Butterfield Rd Ste 1600
Downers Grove, IL 60515-1211
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1207937 | TX | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ideal Physical Therapy of Texas LLC | Physical Therapist | Current | Accepting new patients |
| Ideal Physical Therapy of Texas LLC | Current | Accepting new patients | |
| Bir JV LLP | Past | Accepting new patients |
Locations
2001 Butterfield Rd
Ste 1600
Downers Grove, IL 60515
4100 Fairway Dr
Ste 400
Carrollton, TX 75010
Phone (972) 394-3325
5400 Brodie Ln
Ste 295
Sunset Valley, TX 78745
Phone (512) 676-3949
Organizations & group practices 3
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.
-
dba ATI Physical Therapy
- Physical Therapist
- Plano, TX
- NPI 1538573746
-
- Durable Medical Equipment & Medical Supplies
- Murphy, TX
- NPI 1902773161
-
dba Baylor Institute for Rehabilitation
- Rehabilitation Hospital
- Dallas, TX
- NPI 1538465901
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732492800000",
"number": "1801183462",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2001 BUTTERFIELD RD STE 1600",
"city": "DOWNERS GROVE",
"state": "IL",
"postal_code": "605151211"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2501 W WILLIAM CANNON DR BLDG 1, SUITE 102",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787455281",
"telephone_number": "512-651-0301",
"fax_number": "512-651-0305"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REA",
"first_name": "JASON",
"credential": "P.T.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-07-05",
"last_updated": "2024-11-25",
"certification_date": "2024-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1207937",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Austin, TX
- Rd Critical Care and Pulmonary Specialists PLLC
- RDG Angus Road, PLLC (Rose Dental Group Angus)
- RDG Parmer Lane, PLLC (Rose Dental Group Parmer)
- RDG William Cannon, PLLC (Rose Dental Group William Cannon)
- Rea Therapy
- Karina Lizeth Rea, PA-C
- Reach Corporation of Texas Inc
- Lauren Wilder Reach, APRN, CPNP-AC
- Leigh Ann Read
- Meagan Read, LCSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.