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DR. JASON PETRASIC M.D. NPI 1740623388


NPI Information

NPI: 1740623388
Provider Name: DR. JASON PETRASIC, M.D.
Classification: Physical Medicine & Rehabilitation - 2081S0010X
Entity Type: Individual

Specialization: Sports Medicine

PECOS Registration: Yes

Address:
5700 DALLAS PKWY
FRISCO, TX
ZIP 75034
Phone: (469) 515-7100
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DR. Jason Petrasic, M.D. is a sports medicine physical medicine rehabilitation in Frisco, TX. The provider is a physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of wellness and the prevention of injury from many areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation and injuries. It is the goal of a Sports Medicine specialist to improve the healthcare of the individual engaged in physical exercise. DR. Jason Petrasic, M.D. NPI is 1740623388. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5700 DALLAS PKWY
FRISCO, TX
ZIP 75034-580
Phone: (469) 515-7100
Fax: (469) 515-7101

The NPI 1740623388 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/13/2013 and was last updated on 8/23/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1390200000XStudent in an Organized Health Care Education/Training ProgramBP10047555TEXASNo
2390200000XStudent in an Organized Health Care Education/Training Program17539FLORIDANo
3208100000XPhysical Medicine & RehabilitationQ9878TEXASNo
42081S0010XPhysical Medicine & RehabilitationSports MedicineQ9878TEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.