JASON BRADLY SMALL (DPT) – Physical Therapist, NPI 1780410225

JASON BRADLY SMALL (DPT) is a healthcare provider. based in Tacoma, Washington. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. PT61602483 (WA). The NPI Number for JASON BRADLY SMALL (DPT) is 1780410225

Main info

Male
2 Years Of Experience
Accepts Medicare Assignment
Name
JASON BRADLY SMALL (DPT)
NPI
1780410225
Phone
Not provided
Address
6050 TACOMA MALL BLVD STE 300
Enumeration Date
11 September 2024
Last Update Date
11 September 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4254029772
Graduation Year
2024 (2 years ago)
PAC ID
0446783997
Group Practice PAC ID
0941564751
Professional Enrollment ID
I20241023001395
Address ID
WA980726800WO17618NEXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:1State licenses:1Digital endpointsOther names

3,527 PHYSICAL THERAPIST IN PRIVATE PRACTICE in WA

Provider Addresses for JASON BRADLY SMALL (DPT)

  • 6050 TACOMA MALL BLVD STE 300

    TACOMA, WA 984096828

    Phone:

    Type: Mailing

  • 2727 HOLLYCROFT ST STE 310

    GIG HARBOR, WA 983351312

    Phone: (253) 514-6757

    Type: Location

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: 2024-10-23

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
I20241023001395IPhysical Therapist In Private PracticeWATBD

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 98409)

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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: 0941564751View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeWA
-WA
-CA
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeWA

Reviews

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Frequently asked questions

What identifier follows JASON BRADLY SMALL (DPT) across health systems?
The NPI 1780410225 uniquely identifies JASON BRADLY SMALL (DPT) in U.S. healthcare data.
Quick check: is JASON BRADLY SMALL (DPT) active?
Public NPPES data shows JASON BRADLY SMALL (DPT) with an active NPI status right now.
What services align with JASON BRADLY SMALL (DPT)'s listing?
JASON BRADLY SMALL (DPT)'s public classification highlights Physical Therapist. Clinical services aligned with this taxonomy classification.
What city is tied to JASON BRADLY SMALL (DPT)?
The directory associates JASON BRADLY SMALL (DPT) with Tacoma, Washington. Check all listed addresses for suites or satellite offices.
Who maintains JASON BRADLY SMALL (DPT)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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