MEDICARE: JASON WARRENDER 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
1	225100000X	Physical Therapist	PT015647	PA
2	225100000X	Physical Therapist	PT010060	OH

General Provider Information

NPI Number	:	1649209040
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JASON WARRENDER PT

Provider Business Mailing Address
First Line	:	1034 GROVE ST
Second Line	:
City	:	MEADVILLE
State	:	PA
Zip	:	16335-2945
Country	:	US
Telephone Number	:	330-534-5000
Fax Number	:	330-568-4264

Provider Business Practice Location Address
First Line	:	880 W LIBERTY ST STE 102
Second Line	:
City	:	HUBBARD
State	:	OH
Zip	:	44425-1753
Country	:	US
Telephone Number	:	330-534-5000
Fax Number	:	330-568-4264

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

Provider Enumeration Date	:	06/30/2006
Last Update Date	:	04/04/2025

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Directions to “ JASON WARRENDER PT” Practice Location

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