Healthcare Provider Details

I. General information

NPI: 1861308421
Provider Name (Legal Business Name): JASON MICHAEL STRICKER PT, DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/21/2026
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11050 MT BELVEDERE BLVD
FORT DRUM NY
13602-2603
US

IV. Provider business mailing address

121 FLOWER AVE E APT B
WATERTOWN NY
13601-4019
US

V. Phone/Fax

Practice location:
  • Phone: 888-838-1303
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License Number14304625-2401
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: