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NPI 1447579990

NPI 1447579990 : JASON ZAMORA OTD, OTR/L, PT, DPT : AUSTIN, TX

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General NPI Number Information
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    NPI Number           |    1447579990
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    Entity Type          |    Individual 
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    Provider Name        |    JASON ZAMORA OTD, OTR/L, PT, DPT
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    05/24/2010
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    Last Update Date     |    11/21/2025
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Provider Practice Location Address
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    Address Line         |    2601 ESPERANZA XING UNIT 1131 
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    City                 |    AUSTIN
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    State                |    TX
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    Zip                  |    78758-2101
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    Country              |    US
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    Telephone            |    855-223-2275
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    Fax                  |    512-540-3034
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Provider Business Mailing Address
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    Address Line         |    2601 ESPERANZA XING UNIT 1131 
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    City                 |    AUSTIN
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    State                |    TX
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    Zip                  |    78758-2101
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    Country              |    US
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    Telephone            |    855-223-2275
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    Fax                  |    512-540-3034
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    2251E1300X
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    Taxonomy Name        |    Clinical Electrophysiology Physical Therapist
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    License Number       |    1235169
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    License Number State |    TX
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Taxonomy #2
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    Taxonomy Code        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    1235169
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    License Number State |    TX
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Taxonomy #3
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    Taxonomy Code        |    225X00000X
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    Taxonomy Name        |    Occupational Therapist
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    License Number       |    117809
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    License Number State |    TX
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