Jason W Paulsen, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

P160031123 Issued in WA

Practice address

7411 N Nevada St
Spokane, WA 99208-5518

Phone

(509) 489-2273

NPI assigned

Dec 12, 2022

Sex

Male

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1670803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670803200000",
    "number": "1801507769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12522 E 24TH AVE",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992162509",
            "telephone_number": "509-435-1054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7411 N NEVADA ST",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992085518",
            "telephone_number": "509-489-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAULSEN",
        "first_name": "JASON",
        "middle_name": "W",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-12-12",
        "last_updated": "2022-12-12",
        "certification_date": "2022-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "WA",
            "license": "P160031123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abigail Brianne Pauley
• Julie Kristen Paull, B.S., O.T.
• Robert Matthew Paull, B.S., P.T.
• Anna J Paullin-Fish
• Carla A Paullin, MA
• Jennifer Michelle Paulsen
• Richard Wallace Paulsen, COUNSELOR
• Kari Astrid Paulson
• Natalie Isabelle Paulson
• Layne E Pavey, LCSW

• Physical Therapy Assistant in Spokane, WA
• Providers in Spokane, WA by specialty
• Physical Therapy Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2022; 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.