Individual provider Active NPI

Jason Wayne Racca, P.T.

  • Orthopedic Physical Therapist
  • Fort Worth, TX
National Provider Identifier
1942486519
Registry record updated Aug 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
1179207 Issued in TX
Practice address
9800 Hillwood Pkwy Ste 140
Ft Worth, TX 76177-1532
Phone
(817) 221-8248
Fax
(682) 593-3599
NPI assigned
Jan 14, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 1179207 TX Primary

Addresses

Primary practice location

9800 Hillwood Pkwy Ste 140
Ft Worth, TX 76177-1532

Mailing address

11601 Emory TRL
Fort Worth, TX 76244-8805
Phone (817) 221-8248

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

Practice roles

OrganizationSpecialtyStatusNew patients
R3 Physiotherapy CurrentSince Aug 29, 2021 Accepting new patients
Metdalspi, LLC Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1200268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629504000000",
    "number": "1942486519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11601 EMORY TRL",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762448805",
            "telephone_number": "817-221-8248",
            "fax_number": "682-593-3599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9800 HILLWOOD PKWY STE 140",
            "city": "FT WORTH",
            "state": "TX",
            "postal_code": "761771532",
            "telephone_number": "817-221-8248",
            "fax_number": "682-593-3599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RACCA",
        "first_name": "JASON",
        "middle_name": "WAYNE",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-01-14",
        "last_updated": "2021-08-21",
        "certification_date": "2021-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "TX",
            "license": "1179207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2021; 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.