Provider Demographics
NPI:1457461907
Name:ALAIMO, JASON
Entity Type:Individual
Prefix:
First Name:JASON
Middle Name:
Last Name:ALAIMO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2765 BEE CAVES RD
Mailing Address - Street 2:SUITE 209
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78746-5640
Mailing Address - Country:US
Mailing Address - Phone:512-327-5100
Mailing Address - Fax:
Practice Address - Street 1:2765 BEE CAVES RD
Practice Address - Street 2:STE 209
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78746-5640
Practice Address - Country:US
Practice Address - Phone:512-327-5100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2014-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11688602251X0800X, 225100000X, 2251S0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
No2251S0007XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistSports
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1168860OtherLICENSE #