Individual provider Active NPI

Jason Peter Ortolano, DPT

  • Physical Therapist
  • Worcester, MA
National Provider Identifier
1992126114
Registry record updated Dec 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTL21781 Issued in MA
Practice address
120 Stafford St
Worcester, MA 01603-1457
Phone
(508) 798-2225
Fax
(508) 798-2224
NPI assigned
Dec 16, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 31, 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 PTL21781 MA Primary

Addresses

Primary practice location

120 Stafford St
Worcester, MA 01603-1457

Mailing address

120 Stafford St
Worcester, MA 01603-1457

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151007000341 MA Practitioner - Physical Therapist in Private Practice 2961627351 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
85.19 of 100Reported as group
Quality
86.04
Improvement activities
40
Cost
76.23

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PTL21781MAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rule 76 Performance CurrentSince Apr 29, 2025 Accepting new patients
Comeback Physical Therapy, Inc. Physical Therapist CurrentSince Dec 17, 2025 Accepting new patients
Carl Gustafson LLC Physical Therapist Past Accepting new patients
Performance Rehabilitation of Western New England LLC Physical Therapist Past Accepting new patients

Locations

415 Neponset Ave
Ste 2B
Dorchester, MA 02122
Phone (617) 287-2225

10 Fairway St
Mattapan, MA 02126
Phone (617) 298-2225

966 Park St
Ste A2
Stoughton, MA 02072
Phone (781) 341-1000

120 Stafford St
Worcester, MA 01603
Phone (508) 344-7530

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.

NPI Registry JSON

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

{
    "created_epoch": "1387152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767139200000",
    "number": "1992126114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 STAFFORD ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016031457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 STAFFORD ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016031457",
            "telephone_number": "508-798-2225",
            "fax_number": "508-798-2224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTOLANO",
        "first_name": "JASON",
        "middle_name": "PETER",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-12-16",
        "last_updated": "2025-12-31",
        "certification_date": "2025-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "PTL21781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Worcester, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 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.