Individual provider Active NPI

Jason McDonald, PT

  • Physical Therapist
  • Massillon, OH
National Provider Identifier
1801864194
Registry record updated Apr 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT010604 Issued in OH
Practice address
3244 Bailey St NW
Massillon, OH 44646-3616
Phone
(330) 418-8748
Fax
(330) 437-2440
NPI assigned
Mar 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2022

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 PT010604 OH Primary

Addresses

Primary practice location

3244 Bailey St NW
Massillon, OH 44646-3616

Mailing address

PO Box 573
Louisville, OH 44641-0573
Phone (330) 224-6869

Other practice location 1

135 N Main St
Orrville, OH 44667-1637
Phone (330) 685-3220

Other practice location 2

1801 Smucker Rd
Orrville, OH 44667-9191
Phone (330) 685-3220

Other identifiers 1

IdentifierTypeStateIssuer
2721460MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070205000067 OH Practitioner - Physical Therapist in Private Practice 5395747380 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Onsite Therapy Solutions LLCGroup PAC ID 2163710807, 2 clinicians

Practice addresses (Care Compare)

1801 Smucker Rd
Orrville, OH 44667-9191
Phone (330) 685-3220

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT010604OHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Onsite Therapy Solutions, LLC Physical Therapist CurrentSince Apr 2, 2014 Accepting new patients

Locations

3244 Bailey St NW
Massillon, OH 44646
Phone (330) 452-0049

1258 Lincoln Way E
Massillon, OH 44646
Phone (330) 418-8748

135 N Main St
Orrville, OH 44667
Phone (330) 685-3220

1801 Smucker Rd
Orrville, OH 44667
Phone (330) 685-3220

Organizations & group practices 1

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": "1141948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651104000000",
    "number": "1801864194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 573",
            "city": "LOUISVILLE",
            "state": "OH",
            "postal_code": "446410573",
            "telephone_number": "330-224-6869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3244 BAILEY ST NW",
            "city": "MASSILLON",
            "state": "OH",
            "postal_code": "446463616",
            "telephone_number": "330-418-8748",
            "fax_number": "330-437-2440"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "135 N Main St",
            "address_purpose": "LOCATION",
            "city": "Orrville",
            "state": "OH",
            "postal_code": "446671637",
            "country_code": "US",
            "telephone_number": "330-685-3220",
            "fax_number": "330-437-2440",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1801 Smucker Rd",
            "address_purpose": "LOCATION",
            "city": "Orrville",
            "state": "OH",
            "postal_code": "446679191",
            "country_code": "US",
            "telephone_number": "330-685-3220",
            "fax_number": "330-437-2440",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCDONALD",
        "first_name": "JASON",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-10",
        "last_updated": "2022-04-28",
        "certification_date": "2022-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT010604",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2721460",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Massillon, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2022; 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.