Active NPI
Jason M Vega, PT
- Physical Therapist
- Columbia, SC
National Provider Identifier
1972521904
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5601
- Practice address
- 1910 Blanding St
Columbia, SC 29201-3520 - Phone
- (803) 256-4107
- NPI assigned
- Jul 17, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT2368 | MS | |
| Physical Therapist | 225100000X | 5601 | SC | Primary |
Addresses
Primary practice location
1910 Blanding St
Columbia, SC 29201-3520
Mailing address
1910 Blanding St
Columbia, SC 29201-3520
Phone (803) 256-4107
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00346935 | Other | MS | RAILROAD |
| 03274724 | Medicaid | MS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1910 Blanding St
Columbia, SC 29201-3520
Phone (803) 256-4107
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5601 | SC | MD | Physical Rehabilitation Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Midlands Orthopaedics and Neurosurgery, PA | Current | Accepting new patients | |
| Midlands Orthopaedics and Neurosurgery PA | Current | Accepting new patients | |
| Midlands Orthopaedics and Neurosurgery, PA | Past | Accepting new patients | |
| Northlake Physical Therapy and Rehabilitation Services, Inc. | Physical Therapist | Past | Accepting new patients |
Locations
1910 Blanding St
Columbia, SC 29201
Phone (803) 253-6721
1013 Lake Murray Blvd
Irmo, SC 29063
Phone (803) 732-5887
109 Park Place Ct
Lexington, SC 29072
Phone (803) 933-6784
Interoperability endpoints
- jason.vega.1@5499.direct.athenahealth.com
Organizations & group practices 4
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.
-
- Orthopaedic Surgery Physician
- Columbia, SC
- NPI 1447235106
-
- Durable Medical Equipment & Medical Supplies
- Columbia, SC
- NPI 1598659393
-
- Orthopaedic Surgery Physician
- Irmo, SC
- NPI 1124096979
-
- Physical Therapist
- Mandeville, LA
- NPI 1831168335
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1972521904",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1910 BLANDING ST",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292013520",
"telephone_number": "803-256-4107"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1910 BLANDING ST",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292013520",
"telephone_number": "803-256-4107"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VEGA",
"first_name": "JASON",
"middle_name": "M",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-17",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MS",
"license": "PT2368",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "SC",
"license": "5601",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD",
"identifier": "P00346935",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03274724",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.