Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jason Patrick Proud, DPT

Individual provider Physical Therapist · NPI 1558195917

Jason Patrick Proud, DPT is a Physical Therapist in Private Practice in Fairbanks, Alaska. Qualified in 2024, 2 years ago. Practices with Cape Fear Valley Health Medical Group LLC, a 330-clinician group and accepts Medicare assignment. Licensed in Alaska, North Carolina, New York and Washington.

Years since qualifying
2
Licensed in
AK, NC, NY, WA
In the registry since
2024
Specialties on file
4
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

3455 Rewak Dr Ste 106
Fairbanks, AK 99709-5024
Phone: (907) 457-5322
Fax: (907) 313-5322
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 246377 (AK)
Physical Therapist Taxonomy 225100000X · Licence 052939 (NY)
Physical Therapist Taxonomy 225100000X · Licence PT61628802 (WA)
Physical Therapist Taxonomy 225100000X · Licence P24412 (NC)

Record details

NPI number1558195917
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedAugust 28, 2024
Last updated in NPPESJanuary 14, 2026
Certification dateJanuary 14, 2026
Mailing address3455 Rewak Dr Ste 106, Fairbanks, AK 99709-5024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Cape Fear Valley Health Medical Group Llc — 330 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Fairbanks