Provider Demographics
NPI:1437129848
Name:ALVIOR, JASON PELAYO (PT)
Entity Type:Individual
Prefix:MR
First Name:JASON
Middle Name:PELAYO
Last Name:ALVIOR
Suffix:
Gender:M
Credentials:PT
Other - Prefix:MR
Other - First Name:JASON
Other - Middle Name:PELAYO
Other - Last Name:ALVIOR
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PT
Mailing Address - Street 1:4609 BUCKEYE RD
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33624-1635
Mailing Address - Country:US
Mailing Address - Phone:813-962-6839
Mailing Address - Fax:813-962-6839
Practice Address - Street 1:4609 BUCKEYE RD
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33624-1635
Practice Address - Country:US
Practice Address - Phone:813-962-6839
Practice Address - Fax:813-962-6839
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-26
Last Update Date:2008-12-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT22483225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist