Individual provider Active NPI

Jason S Pointer, P.T.

  • Physical Therapist
  • Tempe, AZ
National Provider Identifier
1801934757
Registry record updated Jan 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
7524 Issued in AZ
Practice address
3141 S McClintock Dr Ste 2
Tempe, AZ 85282-5682
Phone
(480) 566-8125
Fax
(804) 566-8126
NPI assigned
Feb 2, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physical Therapist 2251S0007X 7524 AZ
Orthopedic Physical Therapist 2251X0800X 7524 AZ
Physical Therapist 225100000X 7524 AZ Primary

Addresses

Primary practice location

3141 S McClintock Dr Ste 2
Tempe, AZ 85282-5682

Mailing address

600 Oakmont LN Ste 600C
Westmont, IL 60559-5548
Phone (630) 575-6250

Other identifiers 2

IdentifierTypeStateIssuer
7524OtherAZLICENSE #
293576MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, ID2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20070313000261 AZ Practitioner - Physical Therapist in Private Practice 9739282757 Reassigns benefits to 2 organizations
I20230328001996 ID Practitioner - Physical Therapist in Private Practice 9739282757 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rehabauthority LLCGroup PAC ID 1355333931, 48 clinicians

Practice addresses (Care Compare)

120 E Pine St
Caldwell, ID 83605-4836
Phone (208) 454-5142

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
360 Physical Therapy LLC Physical Therapist CurrentSince Mar 6, 2023 Accepting new patients
360 Physical Therapy, LLC Current Accepting new patients
Athletico LTD Physical Therapist CurrentSince Oct 22, 2019 Accepting new patients
Athletico LTD Physical Therapist CurrentSince Oct 22, 2019 Accepting new patients
360 Physical Therapy LLC Physical Therapist CurrentSince Mar 6, 2023 Accepting new patients
Rehabauthority, LLC Physical Therapist CurrentSince Mar 6, 2023 Accepting new patients

Locations

1076 W Chandler Blvd
Ste 103
Chandler, AZ 85224
Phone 4808211997116

690 S Cooper Rd
Ste 101
Gilbert, AZ 85233
Phone (480) 503-2100

3306 S Higley Rd
Ste 103
Gilbert, AZ 85297
Phone (480) 729-8315

6070 W Bell Rd
Ste A103
Glendale, AZ 85308
Phone (602) 782-3965

8322 E McDowell Rd
Ste 102
Scottsdale, AZ 85257
Phone (480) 941-4169

3141 S McClintock Dr
Ste 2
Tempe, AZ 85282
Phone (480) 566-8125

8270 S Houghton Rd
Ste 180
Tucson, AZ 85747
Phone (520) 664-1430

10790 W Overland Rd
Boise, ID 83709
Phone (208) 322-8709

5520 N Eagle Rd
Ste 102
Boise, ID 83713
Phone (208) 938-5255

1109 S Broadway Ave
Ste 120
Boise, ID 83706
Phone (208) 473-4410

120 E Pine St
Caldwell, ID 83605
Phone (208) 454-5142

134 E Idaho Ave
Homedale, ID 83628
Phone (208) 337-3254

720 S Woodruff Ave
Idaho Falls, ID 83401
Phone (208) 322-8709

825 W Deer Flat Rd
#100
Kuna, ID 83634
Phone (208) 268-0104

745 S Progress Ave
Ste 110
Meridian, ID 83642
Phone (208) 895-0309

745 S Progress Ave
Meridian, ID 83642
Phone (208) 895-0309

337 W Iowa Ave
Nampa, ID 83686
Phone (208) 305-6838

64 S Star Rd
#2
Star, ID 83669
Phone (208) 488-4250

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

1100 19th Ave N
Ste K
Fargo, ND 58102
Phone (701) 235-1400

2600 Dallas Pkwy
Ste 290
Frisco, TX 75034
Phone (945) 260-0010

Interoperability endpoints

  • Direct secure messaging: jason.pointer.p6@direct.athleticoltd.nextgenshare.com

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": "1170374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547683200000",
    "number": "1801934757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 OAKMONT LN STE 600C",
            "city": "WESTMONT",
            "state": "IL",
            "postal_code": "605595548",
            "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": "3141 S MCCLINTOCK DR STE 2",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852825682",
            "telephone_number": "480-566-8125",
            "fax_number": "804-566-8126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POINTER",
        "first_name": "JASON",
        "middle_name": "S",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-02",
        "last_updated": "2019-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "AZ",
            "license": "7524",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "AZ",
            "license": "7524",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "7524",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE #",
            "identifier": "7524",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "293576",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2019; 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.