MEDICARE: DR. JASON NICO LONDA

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
1	2255A2300X	Athletic Trainer	AT007254	OH
2	225100000X	Physical Therapist	PT022033	OH

General Provider Information

NPI Number	:	1285271932
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JASON NICO LONDA

Provider Business Mailing Address
First Line	:	387 WYANT RD
Second Line	:
City	:	AKRON
State	:	OH
Zip	:	44313-4253
Country	:	US
Telephone Number	:	910-381-2471
Fax Number	:

Provider Business Practice Location Address
First Line	:	4125 MEDINA RD
Second Line	:
City	:	AKRON
State	:	OH
Zip	:	44333-2483
Country	:	US
Telephone Number	:	330-665-8000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/02/2019
Last Update Date	:	01/14/2026

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Directions to “ DR. JASON NICO LONDA ” Practice Location

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