DR. JASON W REGRUIT (PT, DPT, MS, CSCS) – Sports Physical Therapist, NPI 1184124372

DR. JASON W REGRUIT (PT, DPT, MS, CSCS) is a healthcare provider. based in Elkton, Maryland. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT, DPT, MS, CSCS. They hold a License No. AL7618 (FL). The NPI Number for DR. JASON W REGRUIT (PT, DPT, MS, CSCS) is 1184124372

Main info

Male
9 Years Of Experience
Accepts Medicare Assignment
Name
DR. JASON W REGRUIT (PT, DPT, MS, CSCS)
NPI
1184124372
Phone
(585) 362-1433
Address
2205 STONE GATE BLVD
Enumeration Date
14 February 2018
Last Update Date
22 October 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8774073422
Graduation Year
2017 (9 years ago)
PAC ID
9638430945
Group Practice PAC ID
7416345921
Professional Enrollment ID
I20230419001715
Address ID
FL342432920SA8450XRDXX400

Contacts

Main Contact
https://www.cms.gov/research-statistics-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness95
Years active:8State licenses:2Other names

678 PHYSICAL THERAPIST IN PRIVATE PRACTICE in DE

Provider Addresses for DR. JASON W REGRUIT (PT, DPT, MS, CSCS)

  • 2205 STONE GATE BLVD

    ELKTON, MD 219214094

    Phone: (585) 362-1433

    Type: Mailing

  • 99 WOLF CREEK BLVD STE 2

    DOVER, DE 199014968

    Phone: (302) 734-8000

    Type: Location

  • 8770 MAITLAND SUMMIT BLVD

    ORLANDO, FL 328105934

    Phone: (585) 362-1433

    Type: Location

  • 8770 MAITLAND SUMMIT BLVD UNIT 2414

    ORLANDO, FL 328106017

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-04-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230419001715IPhysical Therapist In Private PracticeFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 21921)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7416345921View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeFL
Physical Therapist In Private PracticeFL
Physical Therapist In Private PracticeFL
Physical Therapist In Private PracticeNJ
Physical Therapist In Private PracticeFL
Physical Therapist In Private PracticeMD
Physical Therapist In Private PracticeNJ
Physical Therapist In Private PracticeFL
Physical Therapist In Private PracticeFL
Physical Therapist In Private PracticeFL

Reviews

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Frequently asked questions

Can I cross-check DR. JASON W REGRUIT (PT, DPT, MS, CSCS) using NPI 1184124372?
NPI 1184124372 belongs to DR. JASON W REGRUIT (PT, DPT, MS, CSCS); compare other details if you need extra assurance.
Active or inactive — what applies to DR. JASON W REGRUIT (PT, DPT, MS, CSCS)?
You should see DR. JASON W REGRUIT (PT, DPT, MS, CSCS) as active in CMS-hosted NPPES data.
What expertise is attributed to DR. JASON W REGRUIT (PT, DPT, MS, CSCS)?
DR. JASON W REGRUIT (PT, DPT, MS, CSCS)'s specialty line reads Sports Physical Therapist. Clinical services aligned with this taxonomy classification.
What locale is associated with DR. JASON W REGRUIT (PT, DPT, MS, CSCS)?
Directory geography for DR. JASON W REGRUIT (PT, DPT, MS, CSCS) centers on Elkton, Maryland.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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