Provider Demographics
NPI:1821048885
Name:STRICKLAND, JASON R (PT)
Entity Type:Individual
Prefix:
First Name:JASON
Middle Name:R
Last Name:STRICKLAND
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:1818 HENDERSON ST
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29201-2619
Mailing Address - Country:US
Mailing Address - Phone:803-782-4278
Mailing Address - Fax:803-782-3445
Practice Address - Street 1:3300 SUNSET BLVD
Practice Address - Street 2:
Practice Address - City:WEST COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29169-3457
Practice Address - Country:US
Practice Address - Phone:803-796-8377
Practice Address - Fax:803-796-8378
Is Sole Proprietor?:No
Enumeration Date:2006-05-11
Last Update Date:2018-10-23
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
SC5183225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
Q34036Medicare UPIN