MEDICARE: JASON ELOWITZ ASSOCIATES, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	222Q00000X	Developmental Therapist
2	225100000X	Physical Therapist
3	225X00000X	Occupational Therapist
4	235Z00000X	Speech-Language Pathologist
5	252Y00000X	Early Intervention Provider Agency

General Provider Information

NPI Number	:	1538403829
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JASON ELOWITZ ASSOCIATES, INC.

Provider Business Mailing Address
First Line	:	19723 BRICKEL POINT DR
Second Line	:
City	:	BOCA RATON
State	:	FL
Zip	:	33498-4503
Country	:	US
Telephone Number	:	561-716-0804
Fax Number	:

Provider Business Practice Location Address
First Line	:	123 GLENWOOD AVE
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27603-1703
Country	:	US
Telephone Number	:	252-375-3454
Fax Number	:	855-855-4089

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. JASON ELOWITZ
Credential	:
Telephone Number	:	561-716-0804

Provider Enumeration Date	:	11/27/2012
Last Update Date	:	06/05/2013

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