Individual provider Active NPI

Jason A Klein, PT, DPT, ATC

  • Physical Therapist
  • Oro Valley, AZ
National Provider Identifier
1952745515
Registry record updated Oct 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
10331 Issued in AZ
Practice address
12460 N Rancho Vistoso Blvd Ste 140
Oro Valley, AZ 85755-1989
Phone
(520) 615-6573
Fax
(520) 575-7014
NPI assigned
Apr 24, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X 0989 AZ
Physical Therapist 225100000X 10331 AZ Primary

Addresses

Primary practice location

12460 N Rancho Vistoso Blvd Ste 140
Oro Valley, AZ 85755-1989

Mailing address

1106 Walnut St
Ste 110
San Luis Obispo, CA 93401-2416
Phone (805) 788-0805

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141103001532 AZ Practitioner - Physical Therapist in Private Practice 9436371630 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physio Shop Tucson LLCGroup PAC ID 7315477460, 12 clinicians

Practice addresses (Care Compare)

6011 N Oracle Rd
Suite 151
Tucson, AZ 85704-5309
Phone (520) 561-0101

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0989AZMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Physio Shop Flagstaff LLC Physical Therapist CurrentSince Oct 6, 2024 Accepting new patients
Physio Shop Tucson LLC Physical Therapist CurrentSince Oct 3, 2024 Accepting new patients
The Physio Shop LLC Physical Therapist CurrentSince Jul 1, 2021 Accepting new patients

Locations

1510 S Riordan Ranch St
Flagstaff, AZ 86001
Phone (928) 214-7303

6011 N Oracle Rd
Ste 151
Tucson, AZ 85704
Phone (520) 561-0101

6011 N Oracle Rd
#151
Tucson, AZ 85704
Phone (520) 561-0101

Organizations & group practices 3

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": "1366761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728604800000",
    "number": "1952745515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1106 WALNUT ST",
            "address_2": "STE 110",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934012416",
            "telephone_number": "805-788-0805",
            "fax_number": "805-788-0845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12460 N RANCHO VISTOSO BLVD STE 140",
            "city": "ORO VALLEY",
            "state": "AZ",
            "postal_code": "857551989",
            "telephone_number": "520-615-6573",
            "fax_number": "520-575-7014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEIN",
        "first_name": "JASON",
        "middle_name": "A",
        "credential": "PT, DPT, ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-24",
        "last_updated": "2024-10-11",
        "certification_date": "2024-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "AZ",
            "license": "0989",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "10331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oro Valley, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.