Individual provider Active NPI

Jason P Yarber, DPT

  • Physical Therapist
  • Booneville, MS
National Provider Identifier
1962705871
Registry record updated Jan 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT4379 Issued in MS
Practice address
809 N 2ND St
Booneville, MS 38829-1309
Phone
(662) 728-7218
Fax
(662) 728-7228
NPI assigned
Dec 15, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT4379 MS Primary

Addresses

Primary practice location

809 N 2ND St
Booneville, MS 38829-1309

Mailing address

PO Box 366
Baldwyn, MS 38824-0366
Phone (662) 365-5610

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110407000620 MS Practitioner - Physical Therapist in Private Practice 4789868209 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Encore Rehabilitation, IncGroup PAC ID 3577462126, 182 clinicians

Practice addresses (Care Compare)

499 Gloster Creek VLG
Suite F1
Tupelo, MS 38801-4705
Phone (662) 269-8006

Merit-based Incentive Payment System (MIPS)

Final score
23.05 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
76.84

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT4379MSMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Performance Physical Therapy, Inc. Physical Therapist CurrentSince Mar 4, 2011 Accepting new patients
Encore Rehabilitation, Inc. Physical Therapist CurrentSince Jan 1, 2025 Accepting new patients
Encore Rehabilitation, Inc. Physical Therapist CurrentSince Jan 1, 2025 Accepting new patients

Locations

251 Johnston St SE
Ste 300
Decatur, AL 35601
Phone (256) 340-9708

42465 Highway 195
Haleyville, AL 35565
Phone (205) 486-2753

715 Highway 45
Baldwyn, MS 38824
Phone (662) 365-5610

809 N 2nd St
Booneville, MS 38829
Phone (662) 365-5610

433 Main St
Leakesville, MS 39451
Phone (601) 394-4545

499 Gloster Creek Vlg
Ste F1
Tupelo, MS 38801
Phone (662) 269-8006

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": "1292371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735776000000",
    "number": "1962705871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 366",
            "city": "BALDWYN",
            "state": "MS",
            "postal_code": "388240366",
            "telephone_number": "662-365-5610",
            "fax_number": "662-365-5611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 N 2ND ST",
            "city": "BOONEVILLE",
            "state": "MS",
            "postal_code": "388291309",
            "telephone_number": "662-728-7218",
            "fax_number": "662-728-7228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YARBER",
        "first_name": "JASON",
        "middle_name": "P",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-12-15",
        "last_updated": "2025-01-02",
        "certification_date": "2025-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MS",
            "license": "PT4379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Booneville, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2025; 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.