Active NPIIndividual provider

Jason Carll, PHYSICAL THERAPIST A

Physical Therapy Assistant in Vineland, New Jersey

NPI Number1811921778
Practice location
2848 S Delsea Dr, #3, Vineland, NJ 08360
Fax
856-696-8555
Last updated
July 8, 2007

Jason Carll is a Physical Therapy Assistant based in Vineland, NJ. Jason Carll practices in Vineland, NJ and has the professional credentials of PHYSICAL THERAPIST A. The NPI Number for Jason Carll is 1811921778 and holds a License No. 40QB00177900 (NJ). The current practice location address for Jason Carll is 2848 S Delsea Dr, #3, Vineland, NJ 08360 and can be reached out via phone at 856-696-0404 and via fax at 856-696-8555.

Provider Profile Details

NPI Number
1811921778
Provider Name
Jason Carll
Credential
PHYSICAL THERAPIST A
Provider Entity Type
Individual
Gender
Male
Address
2848 S Delsea Dr, #3, Vineland, NJ 08360
Phone Number
856-696-0404
Fax Number
856-696-8555
Primary Taxonomy
Physical Therapy Assistant · 225200000X
Sole Proprietor
No
Provider Enumeration Date
July 10, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
2848 S Delsea Dr
#3
Vineland, NJ 08360
Zip
08360
Phone Number
856-696-0404
Fax Number
856-696-8555
Vineland, NJ 08360Get directions →

Provider Business Mailing Address Details

Address
232 Laurel Heights Dr
#4
Bridgeton, NJ 08302
City
Bridgeton
State
NJ
Zip
08302
Phone Number
856-455-9730
Fax Number
856-455-5165

License Information

License Number
40QB00177900
License State
NJ
Taxonomy
Physical Therapy Assistant · 225200000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Carll, PHYSICAL THERAPIST A?

The NPI number of Jason Carll, PHYSICAL THERAPIST A is 1811921778. It was assigned on July 10, 2006 and is currently active in the NPPES registry.

What is the specialty of Jason Carll, PHYSICAL THERAPIST A?

Jason Carll, PHYSICAL THERAPIST A is registered under the primary taxonomy Physical Therapy Assistant (code 225200000X), licensed in NJ under license number 40QB00177900.

Where does Jason Carll, PHYSICAL THERAPIST A practice?

The practice location is 2848 S Delsea Dr, #3, Vineland, NJ 08360. The office can be reached at 856-696-0404 (phone) or 856-696-8555 (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 1811921778 directly on the NPPES registry website.

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