Jason Proud, DPT
NPI 1558195917 · Physical Therapist · Fairbanks, AK
Enrolled with Medicare as Practitioner - Physical Therapist in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jason Proud, DPT is a Physical Therapist provider in Fairbanks, AK (NPI 1558195917).
Provider details
- NPI number
- 1558195917
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- DPT
- Sex
- Male
- Sole proprietor
- No
- License
- 052939 (NY)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2024-08-28
- Last updated
- 2026-01-14
- Certified
- 2026-01-14
Frequently asked questions
- What is Jason Proud's NPI number?
- Jason Proud's National Provider Identifier (NPI) is 1558195917, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jason Proud's specialty?
- Jason Proud is listed in the NPPES registry with a primary specialty of Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Jason Proud located?
- Jason Proud's practice location on file with NPPES is 3455 Rewak Dr Ste 106, Fairbanks, AK 99709-5024.
- What is Jason Proud's phone number?
- The practice phone number listed in the NPPES registry for Jason Proud is (907) 457-5322.
- Does Jason Proud accept Medicare?
- Jason Proud is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jason Proud's NPI active?
- Yes — Jason Proud's NPI (1558195917) is active in the NPPES registry as of the last update on 2026-01-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.