Provider Demographics
NPI:1447579990
Name:ZAMORA, JASON (OTD, OTR/L, PT, DPT)
Entity type:Individual
Prefix:DR
First Name:JASON
Middle Name:
Last Name:ZAMORA
Suffix:
Gender:M
Credentials:OTD, OTR/L, PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2601 ESPERANZA XING UNIT 1131
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78758-2101
Mailing Address - Country:US
Mailing Address - Phone:855-223-2275
Mailing Address - Fax:512-540-3034
Practice Address - Street 1:2601 ESPERANZA XING UNIT 1131
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78758-2101
Practice Address - Country:US
Practice Address - Phone:855-223-2275
Practice Address - Fax:512-540-3034
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-24
Last Update Date:2025-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX12351692251E1300X, 225100000X
TX117809225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2251E1300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistElectrophysiology, Clinical
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist