Jason J Koller, PTA
Physical Therapy Assistant in Tinton Falls, New Jersey
1164644407- Practice location
- 3002 Essex RD, Tinton Falls, NJ 07753-7758
- Phone
- 732-643-2000
- Fax
- 732-643-2056
- Last updated
- July 8, 2007
Jason J Koller is a Physical Therapy Assistant based in Tinton Falls, NJ. Jason J Koller practices in Tinton Falls, NJ and has the professional credentials of PTA. The NPI Number for Jason J Koller is 1164644407 and holds a License No. 40QB00177400 (NJ). The current practice location address for Jason J Koller is 3002 Essex RD, Tinton Falls, NJ 07753-7758 and can be reached out via phone at 732-643-2000 and via fax at 732-643-2056.
Provider Profile Details
- NPI Number
- 1164644407
- Provider Name
- Jason J Koller
- Credential
- PTA
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 3002 Essex RD, Tinton Falls, NJ 07753-7758
- Phone Number
- 732-643-2000
- Fax Number
- 732-643-2056
- Primary Taxonomy
- Physical Therapy Assistant · 225200000X
- Sole Proprietor
- No
- Provider Enumeration Date
- May 3, 2007
- Last Update Date
- July 8, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 3002 Essex RD
Tinton Falls, NJ 07753-7758 - City
- Tinton Falls
- State
- New Jersey
- Zip
- 07753-7758
- Phone Number
- 732-643-2000
- Fax Number
- 732-643-2056
Provider Business Mailing Address Details
- Address
- 4502 Norma Pl
Toms River, NJ 08755-1097 - City
- Toms River
- State
- NJ
- Zip
- 08755-1097
- Phone Number
- 732-367-1408
License Information
- License Number
- 40QB00177400
- License State
- NJ
- Taxonomy
- Physical Therapy Assistant · 225200000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Jason J Koller, PTA?
The NPI number of Jason J Koller, PTA is 1164644407. It was assigned on May 3, 2007 and is currently active in the NPPES registry.
What is the specialty of Jason J Koller, PTA?
Jason J Koller, PTA is registered under the primary taxonomy Physical Therapy Assistant (code 225200000X), licensed in NJ under license number 40QB00177400.
Where does Jason J Koller, PTA practice?
The practice location is 3002 Essex RD, Tinton Falls, NJ 07753-7758. The office can be reached at 732-643-2000 (phone) or 732-643-2056 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1164644407 directly on the NPPES registry website.