Provider Demographics
NPI:1154575264
Name:DRING, JASON BASCOM (PT)
Entity type:Individual
Prefix:
First Name:JASON
Middle Name:BASCOM
Last Name:DRING
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4125 ALBEMARLE ST NW
Mailing Address - Street 2:ROOM 101-E
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20016-2105
Mailing Address - Country:US
Mailing Address - Phone:202-459-4594
Mailing Address - Fax:
Practice Address - Street 1:4125 ALBEMARLE ST NW
Practice Address - Street 2:ROOM 101-E
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20016-2105
Practice Address - Country:US
Practice Address - Phone:202-459-4594
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-17
Last Update Date:2014-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCPT8709472251G0304X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251G0304XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGeriatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC325642Medicare PIN