Individual provider Active NPI

Jason E Strock

  • Physical Therapist
  • Medford, OR
National Provider Identifier
1992705537
Registry record updated Jan 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
3754 Issued in OR
Practice address
924 S Riverside Ave
Medford, OR 97501-7842
Phone
(541) 773-7678
Fax
(541) 773-5517
NPI assigned
Jul 26, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2012

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 3754 OR Primary

Addresses

Primary practice location

924 S Riverside Ave
Medford, OR 97501-7842

Mailing address

924 S Riverside Ave
Medford, OR 97501-7842
Phone (541) 773-7678

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120409000191 OR Practitioner - Physical Therapist in Private Practice 8426219049 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Center of Orthopedic Rehabilitation and Exercise, LLCGroup PAC ID 9638472269, 3 clinicians

Practice addresses (Care Compare)

771 W Stewart Ave
Suite 103
Medford, OR 97501-4279
Phone (541) 500-8029

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Center of Orthopedic Rehabilitation & Exercise, LLC CurrentSince Feb 10, 2023 Accepting new patients

Locations

771 W Stewart Ave
Ste 103
Medford, OR 97501
Phone (541) 500-8029

Organizations & group practices 1

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": "1122336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326844800000",
    "number": "1992705537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "924 S RIVERSIDE AVE",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975017842",
            "telephone_number": "541-773-7678",
            "fax_number": "541-773-5517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "924 S RIVERSIDE AVE",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975017842",
            "telephone_number": "541-773-7678",
            "fax_number": "541-773-5517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STROCK",
        "first_name": "JASON",
        "middle_name": "E",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-26",
        "last_updated": "2012-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "3754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medford, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2012; 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.