Provider Demographics
NPI:1891947834
Name:ADAMES, JASON (DPT)
Entity Type:Individual
Prefix:MR
First Name:JASON
Middle Name:
Last Name:ADAMES
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7273 VANDERBILT BEACH RD STE 18
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34119-1478
Mailing Address - Country:US
Mailing Address - Phone:239-734-3404
Mailing Address - Fax:949-655-5994
Practice Address - Street 1:153 E PIKE ST
Practice Address - Street 2:APPROPRIATE PT
Practice Address - City:CANONSBURG
Practice Address - State:PA
Practice Address - Zip Code:15317-1765
Practice Address - Country:US
Practice Address - Phone:724-745-5646
Practice Address - Fax:724-745-6062
Is Sole Proprietor?:No
Enumeration Date:2008-10-22
Last Update Date:2022-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT019795225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist