Jason Policarpo, PTA, RN

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

TE005949L Issued in PA

Practice address

2250 Hickory Rd
Suite 240
Plymouth Meeting, PA 19462-1047

Phone

(610) 834-1122

Fax

(610) 834-7525

NPI assigned

Oct 21, 2008

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

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1224547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224547200000",
    "number": "1861644056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "164 PLYMOUTH DR",
            "city": "DEPTFORD",
            "state": "NJ",
            "postal_code": "080966890",
            "telephone_number": "856-686-4849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2250 HICKORY RD",
            "address_2": "SUITE 240",
            "city": "PLYMOUTH MEETING",
            "state": "PA",
            "postal_code": "194621047",
            "telephone_number": "610-834-1122",
            "fax_number": "610-834-7525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLICARPO",
        "first_name": "JASON",
        "credential": "PTA, RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-10-21",
        "last_updated": "2008-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "PA",
            "license": "TE005949L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Plymouth Opticians
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• Plymouth Valley Dental Associates
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• Susan Marie Polka, P.T.
• Cheryl Pollock
• Mary Pollock
• Donna Polo

• Physical Therapy Assistant in Plymouth Meeting, PA
• Providers in Plymouth Meeting, PA by specialty
• Physical Therapy Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2008; 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.