DR. JASON THAD STRACKER (NPI# 1710072020) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710072020 |
| Entity Type | Individual |
| Full Name | DR. JASON THAD STRACKER |
| Credential | PT, DPT |
| Practice Address |
959 E Walnut St Ste 240 Pasadena CA 91106-1451 |
| Mailing Address |
1421 N Wanda Rd # 120-v4 Orange CA 92867-5343 |
| Practice Telephone | 6267952390 |
| Practice Fax Number | 6267952391 |
| Mailing Telephone | 7145141799 |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2019-02-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
PT 29614 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
959 E WALNUT ST STE 240 |
| City | PASADENA |
| State | CA |
| Zip Code | 91106-1451 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578021325 | Carlos Armando Delgado | Physical Therapist | 959 E Walnut St Ste 240, Pasadena, CA 91106-5348 | 2019-03-11 |
| 1922578814 | Marissa Jong | Physical Medicine & Rehabilitation | 959 E Walnut St Ste 240, Pasadena, CA 91106-5348 | 2018-12-04 |
| 1528361698 | Corydon Marrs | Physical Therapist | 959 E Walnut St Ste 240, Pasadena, CA 91106-5348 | 2010-12-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922625987 | Alexa Ann Mettrick | Behavior Technician | 1055 E. Colorado Blcd., Suite 560, Pasadena, CA 91106 | 2020-06-25 |
| 1780205344 | Giovani Telusma | Behavior Technician | 1055 E Colorado Blvd Ste 560 Pasadena, Pasadena, CT 91106 | 2020-05-05 |
| 1356838973 | Susan Ende | Marriage & Family Therapist | 945 Hillcrest Place, Pasadena, CA 91106 | 2018-04-19 |
| 1639678287 | Sean C Velazco | Counselor | 1245 E. Walnut St., Pasadena, CA 91106 | 2018-02-09 |
| 1023558848 | Gregory Ohanian Dds Ms Inc. | Dentist | 225 North Allen Avenue, Pasadena, CA 91106 | 2017-02-27 |
| 1508308586 | Quik Care Express Inc | Non-emergency Medical Transport (VAN) | 592 N. Wilson Ave, 5, Pasadena, CA 91106 | 2016-11-08 |
| 1194119867 | Kimberly Ann Ebner | Dentist | 1060 E. Green St., Suite 105, Pasadena, CA 91106 | 2015-03-20 |
| 1346645512 | Neogenomics Laboratories Inc | Specialist | 840 Cameron Dr, Pasadena, CA 91106 | 2014-10-29 |
| 1255756524 | Tirso Deljunco Sr. | Surgery | 1010 E. Union St., #130, Pasadena, CA 91106 | 2014-02-24 |
| 1386072601 | Hiroko Ogura | Acupuncturist | 1224 E Green St Ste 100, Pasadena, CA 91106 | 2013-10-23 |
| Find all providers in zip 91106 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265087217 | Vincent Ho | Physical Therapist | 800 S Raymond Ave Fl 3, Pasadena, CA 91105-3229 | 2019-08-06 |
| 1558567388 | Emma L Green | Physical Therapist | 780 S Arroyo Pkwy, Suites B and C, Pasadena, CA 91105-3232 | 2007-06-27 |
| 1558414763 | David Songchan Im | Physical Therapist | 2245 E. Colorado Blvd., #202, Pasadena, CA 91107 | 2007-01-19 |
| 1083271571 | Kelli Blair Gunter | Physical Therapist | 5150 Crenshaw Rd Ste D100, Pasadena, TX 77505-3095 | 2019-05-21 |
| 1144796079 | Brent Davis | Physical Therapist | 4500 E Sam Houston Pkwy S Ste 215, Pasadena, TX 77505-3957 | 2018-10-18 |
| 1336697044 | Sarah Barnes | Physical Therapist | 3280 E Foothill Blvd, Pasadena, CA 91107-3103 | 2016-09-12 |
| 1245697523 | Jennifer Yeunyee Jing | Physical Therapist | 301 N Lake Ave, Suite 201, Pasadena, CA 91101-4107 | 2016-01-18 |
| 1982040614 | William Lee | Physical Therapist | 1017 S Fair Oaks Ave, Pasadena, CA 91105-2621 | 2013-05-21 |
| 1639420425 | Andrew Benjamin Piraino | Physical Therapist | 4500 E Sam Houston Pkwy S, Suite 215, Pasadena, TX 77505-3959 | 2012-09-20 |
| 1508146499 | Annette Y Karim | Physical Therapist | 200 E Del Mar Blvd, Suite # 302, Pasadena, CA 91105-2544 | 2011-08-23 |
| Find all providers in PASADENA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.