Jason James Vance, PT, DPT, COMT
NPI 1619503265ActiveIndividual· Physical Therapist· Peru, IL
Physical Therapist (PT, DPT, COMT) in Peru, Illinois, licensed in IL, with an NPI issued in March 2020.
Overview
| NPI | 1619503265 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PT, DPT, COMT |
| Sole proprietor | No |
| NPI issued | Mar 16, 2020 |
| Last updated in NPPES | Mar 16, 2020 |
| Certified by provider | Mar 16, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 070.020056 | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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