Active NPI
Jason Ofodile
- Physical Therapist
- Auburn, WA
National Provider Identifier
1831750595
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 60965325
- Practice address
- 32049 109TH PL SE
Auburn, WA 98092-2567 - Phone
- (253) 876-6000
- NPI assigned
- Jun 24, 2019
- Sex
- Male
- Sole proprietor
- No
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 | 60965325 | WA | Primary |
Addresses
Primary practice location
32049 109TH PL SE
Auburn, WA 98092-2567
Mailing address
16007 SE 249TH PL
Covington, WA 98042-4167
Phone (630) 550-1205
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jason.u.ofodile.mil@mail.mil | Direct | U.S. Army |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60965325 | WA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1561334400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701043200000",
"number": "1831750595",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16007 SE 249TH PL",
"city": "COVINGTON",
"state": "WA",
"postal_code": "980424167",
"telephone_number": "630-550-1205"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "32049 109TH PL SE",
"city": "AUBURN",
"state": "WA",
"postal_code": "980922567",
"telephone_number": "253-876-6000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OFODILE",
"first_name": "JASON",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-06-24",
"last_updated": "2023-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "60965325",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jason.u.ofodile.mil@mail.mil",
"affiliation": "Y",
"endpointDescription": "Enterprise E-Mail",
"affiliationName": "U.S. Army",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "n/a",
"address_1": "32049 109th Pl SE",
"city": "Auburn",
"state": "WA",
"country_code": "US",
"postal_code": "980922567",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Auburn, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.