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

Jason R Wallace, DO

Individual provider Family Medicine Physician · NPI 1992020937

Jason R Wallace, DO is a Family Practice in Pagosa Springs, Colorado. Qualified in 2010, 16 years ago. Practices with Select Physical Therapy Holdings Inc, a 2,121-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Colorado.

Years since qualifying
16
Licensed in
CO
In the registry since
2010
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

95 S Pagosa Blvd
Pagosa Springs, CO 81147-8329
Phone: (970) 731-3700
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence DR.0050788 (CO)

Record details

NPI number1992020937
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 1, 2010
Last updated in NPPESJuly 22, 2020
Certification dateJuly 22, 2020

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Select Physical Therapy Holdings Inc — 2121 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

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