Jason Corinthius Livas, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2152500 Issued in TX

Practice address

2813 W Southlake Blvd Ste 110
Southlake, TX 76092-6832

Phone

(817) 310-8780

NPI assigned

Jan 20, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Riata Therapy Specialists LLC

  • Physical Therapy Clinic/Center
  • Keller, TX
  • NPI 1023027471
  NPD
• Decatur Hospital Authority

  • Skilled Nursing Facility
  • Decatur, TX
  • NPI 1649722943
  NPD (past)

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

{
    "created_epoch": "1579478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579478400000",
    "number": "1972133874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "732 PRINCETON DR",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751151435",
            "telephone_number": "504-813-4427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2813 W SOUTHLAKE BLVD STE 110",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760926832",
            "telephone_number": "817-310-8780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIVAS",
        "first_name": "JASON",
        "middle_name": "CORINTHIUS",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-01-20",
        "last_updated": "2020-01-20",
        "certification_date": "2020-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2152500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Joseph Link, M.D.
• Lionrock Behavioral Health, Inc
• Elizabeth Ashley Little
• Amanda Littlejohn, LPC
• Karen Liu, O.D.
• Live Oak Emergency Physicians PLLC
• LJ3 Holdings, LLC
• Daniel T Lockard Jr., MD
• Rosemary Lockard, LMT
• Kimberley Loesch, RPH

• Physical Therapy Assistant in Southlake, TX
• Providers in Southlake, TX by specialty
• Physical Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2020; 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.