Active NPI
Jason Sackett West, DPT
- Physical Therapist
- Fort Knox, KY
National Provider Identifier
1932647963
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2305215575
- Practice address
- 200 Brule St BLDG 871
Fort Knox, KY 40121-6100 - Phone
- (800) 493-9602
- NPI assigned
- Feb 10, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Kinesiotherapist | 226300000X | |||
| Physical Therapist | 225100000X | 2305215575 | VA | Primary |
Addresses
Primary practice location
200 Brule St BLDG 871
Fort Knox, KY 40121-6100
Mailing address
1212 West Valley Drive
Henrico, VA 23229
Phone (804) 971-4265
Other practice location 1
1201 Broad Rock Blvd
Richmond, VA 23249-0001
Phone (804) 675-5000 ext. 7131
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2305215575 | VA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1486684800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747353600000",
"number": "1932647963",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1212 WEST VALLEY DRIVE",
"city": "HENRICO",
"state": "VA",
"postal_code": "23229",
"telephone_number": "804-971-4265"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 BRULE ST BLDG 871",
"city": "FORT KNOX",
"state": "KY",
"postal_code": "401216100",
"telephone_number": "800-493-9602"
}
],
"practiceLocations": [
{
"address_1": "1201 Broad Rock Blvd",
"address_purpose": "LOCATION",
"city": "Richmond",
"state": "VA",
"postal_code": "232490001",
"country_code": "US",
"telephone_number": "804-675-5000 x7131",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WEST",
"first_name": "JASON",
"middle_name": "SACKETT",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-02-10",
"last_updated": "2025-05-16",
"certification_date": "2025-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "226300000X",
"taxonomy_group": "",
"desc": "Kinesiotherapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305215575",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Knox, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.