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NPI Code Detail

MEDICARE: JASON MCDONALD PT

MEDICARE: JASON MCDONALD PT
Medicare Provider Information

Scope of Practice

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

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical TherapistPT010604OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1801864194
Entity Type Code : Individual
Provider Name (Legal Business Name) : JASON MCDONALD PT
Provider Business Mailing Address
First Line : PO BOX 573
Second Line :
City : LOUISVILLE
State : OH
Zip : 44641-0573
Country : US
Telephone Number : 330-224-6869
Fax Number :
Provider Business Practice Location Address
First Line : 3244 BAILEY ST NW
Second Line :
City : MASSILLON
State : OH
Zip : 44646-3616
Country : US
Telephone Number : 330-418-8748
Fax Number : 330-437-2440
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/10/2006
Last Update Date : 04/28/2022

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Directions to “ JASON MCDONALD PT” Practice Location

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