Individual provider Active NPI

Jason R Falvey, PT, DPT, GCS, CEEAA

  • Geriatric Physical Therapist
  • Cheyenne, WY
National Provider Identifier
1891120986
Registry record updated Sep 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Physical TherapistTaxonomy code 2251G0304X
License
1376 Issued in WY
Practice address
1920 Thomes Ave
Ste. 100
Cheyenne, WY 82001-3542
Phone
(307) 778-3000
NPI assigned
Sep 7, 2013
Last updated
Sep 7, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Physical Therapist 2251G0304X 1376 WY Primary

Addresses

Primary practice location

1920 Thomes Ave
Ste. 100
Cheyenne, WY 82001-3542

Mailing address

215 Walterscheid Blvd
Apt. F305
Cheyenne, WY 82007-2333
Phone (207) 951-0704

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
1376WYMDGeriatric Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Active Aging and Rehabilitation Partners, LLC Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1378512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378512000000",
    "number": "1891120986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 WALTERSCHEID BLVD",
            "address_2": "APT. F305",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820072333",
            "telephone_number": "207-951-0704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1920 THOMES AVE",
            "address_2": "STE. 100",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820013542",
            "telephone_number": "307-778-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FALVEY",
        "first_name": "JASON",
        "middle_name": "R",
        "credential": "PT, DPT, GCS, CEEAA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-09-07",
        "last_updated": "2013-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "WY",
            "license": "1376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cheyenne, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 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.