MEDICARE: JASON BIZJACK DPT

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	225100000X	Physical Therapist	PTT44191	FL

General Provider Information

NPI Number	:	1598623621
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JASON BIZJACK DPT

Provider Business Mailing Address
First Line	:	958 SYKES CT
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32828-9178
Country	:	US
Telephone Number	:	407-608-2351
Fax Number	:	407-608-2351

Provider Business Practice Location Address
First Line	:	454 RINEHART RD STE 1001
Second Line	:
City	:	LAKE MARY
State	:	FL
Zip	:	32746-5251
Country	:	US
Telephone Number	:	407-206-4590
Fax Number	:

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

Provider Enumeration Date	:	01/15/2026
Last Update Date	:	01/15/2026

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Directions to “ JASON BIZJACK DPT” Practice Location

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