Jason Shaver, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

301669 Issued in CA

Practice address

457 N Elm St
Escondido, CA 92025-3001

Phone

(760) 489-1969

NPI assigned

Feb 8, 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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

North County Sports Medicine and Physical Therapy Corp 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• North County Sports Medicine and Physical Therapy Corp

  • Physical Therapy Clinic/Center
  • Oceanside, CA
  • NPI 1306394382

  CA, Physical Therapist

  Medicare reassignment Care Compare group NPD
• North County & Escondido Physical Therapy Inc

  • Physical Therapist
  • Escondido, CA
  • NPI 1497715783

  CA, Physical Therapist

  Medicare reassignment NPD

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

{
    "created_epoch": "1644278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644278400000",
    "number": "1861146870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "457 N ELM ST",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920253001",
            "telephone_number": "760-489-1969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "457 N ELM ST",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920253001",
            "telephone_number": "760-489-1969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAVER",
        "first_name": "JASON",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-02-08",
        "last_updated": "2022-02-08",
        "certification_date": "2022-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "301669",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "301669",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Matthew Edward John Shapiro
• Maryam Sharafsaleh
• Ghazala Sharieff, M.D.
• Lorra Marie Sharp, MD
• Jeffrey David Sharpless Jr.
• Basanti Shaw, O.D.
• Lindsley Marie Shaw
• Mark A Shaw, BC-HIS
• Summer Shea
• Mallory Sheehan

• All providers in Escondido, CA
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 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.