Individual provider Active NPI

Jason Wind, LPTA19899

  • Physical Therapy Assistant
  • Palm Harbor, FL
National Provider Identifier
1881932622
Registry record updated Jan 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
LPTA19899 Issued in FL
Practice address
2953 Shannon Cir
Palm Harbor, FL 34684-1878
Phone
(352) 514-4833
NPI assigned
Jan 29, 2013
Last updated
Jan 29, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 29, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X LPTA19899 FL Primary

Addresses

Primary practice location

2953 Shannon Cir
Palm Harbor, FL 34684-1878

Mailing address

2953 Shannon Cir
Palm Harbor, FL 34684-1878

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

LicenseStateTypeSpecialty
LPTA19899FLMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1359417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359417600000",
    "number": "1881932622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2953 SHANNON CIR",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346841878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2953 SHANNON CIR",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346841878",
            "telephone_number": "352-514-4833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIND",
        "first_name": "JASON",
        "name_prefix": "Mr.",
        "credential": "LPTA19899",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-01-29",
        "last_updated": "2013-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "LPTA19899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Harbor, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2013; 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.