Active NPI
Jason Robert Perry, MSPT
- Physical Therapist
- South Williamsport, PA
National Provider Identifier
1891946141
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT017175
- Practice address
- 580 Reynolds St
South Williamsport, PA 17702-7530 - Phone
- (570) 574-2568
- NPI assigned
- Oct 6, 2008
- 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 | PT017175 | PA | Primary |
Addresses
Primary practice location
580 Reynolds St
South Williamsport, PA 17702-7530
Mailing address
580 Reynolds Street
South Williamsport, PA 17702-7530
Phone (570) 574-2568
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 |
|---|---|---|---|
| PT017175 | PA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1223251200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1223251200000",
"number": "1891946141",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "580 REYNOLDS STREET",
"city": "SOUTH WILLIAMSPORT",
"state": "PA",
"postal_code": "177027530",
"telephone_number": "570-574-2568"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "580 REYNOLDS ST",
"city": "SOUTH WILLIAMSPORT",
"state": "PA",
"postal_code": "177027530",
"telephone_number": "570-574-2568"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERRY",
"first_name": "JASON",
"middle_name": "ROBERT",
"name_prefix": "Mr.",
"credential": "MSPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-10-06",
"last_updated": "2008-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT017175",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in South Williamsport, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 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.