Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JASON PATRICK PROUD, DPT
ActiveJASON PATRICK PROUD, DPT is a Physical Therapy Assistant healthcare provider located in FAIRBANKS, Alaska. NPI 1558195917 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · FAIRBANKS, AK
Registration Details
- NPI Number
- 1558195917
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 28, 2024 (1.9688817958326 yrs)
- Last Updated
- Jan 14, 2026
- Licenses
-
052939 (NY)PT61628802 (WA)P24412 (NC)246377 (AK)
Practice Information
- Address
-
3455 REWAK DR STE 106FAIRBANKS, AK, 997095024Browse AK providers · Browse ZIP 99709
- Phone
- 9074575322
- Fax
- 9073135322
- Primary Specialty
-
Physical Therapy Assistant
225100000X
- Additional Specialty
- Physical Therapy Assistant
- Additional Specialty
- Physical Therapy Assistant
- Additional Specialty
- Physical Therapy Assistant
Other Physical Therapy Assistant Providers in FAIRBANKS, AK
| Name | Credential | NPI |
|---|---|---|
| MR. GEORGE Y SALMON V | PT | 1942291026 |
| BRENDA RENEE WOLVERTON | P.T. | 1447238860 |
| SUSAN GRACE MCDIARMID | PT | 1063466407 |
| JENNIFER CARLSON | PT | 1871530865 |
| MR. GREGORY SCOTT MILLES | P.T. | 1902844376 |
| MR. JAMES RAYMOND PASEK | P.T. | 1114960739 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.