Jason Powell, PT
Physical Therapist in Grand Rapids, MI. Individual provider (NPI-1).
NPI number1760985352
StatusActive
Last updated in NPPESMar 9, 2018
Details
- NPI
- 1760985352
- Entity type
- Individual (NPI-1)
- Name
- Jason Powell
- Credential
- PT
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 9, 2018
- Last updated
- Mar 9, 2018
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | – | – | Yes |
Practice location
100 Michigan St NeGrand Rapids, MI 49503-2560
Phone 616-391-1310
Mailing address
100 Michigan St Ne # Mc010Grand Rapids, MI 49503-2560
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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