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

Mr. Jason Charles Granger, PT

Individual provider Physical Therapist · NPI 1508970625

Mr. Jason Charles Granger, PT is a Physical Therapist in Private Practice in Ruston, Louisiana. Qualified in 2001, 25 years ago. Practices with Northeast Louisiana Rehabilitation, a 6-clinician group and accepts Medicare assignment. Licensed in Louisiana.

Years since qualifying
25
Licensed in
LA
In the registry since
2006
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

1200 S Farmerville St
Ruston, LA 71270-5941
Phone: (318) 251-6103
Fax: (318) 251-6141
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 04808R (LA)

Record details

NPI number1508970625
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedAugust 18, 2006
Last updated in NPPESJuly 8, 2007

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice Northeast Louisiana Rehabilitation — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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