Provider Demographics
NPI:1649209040
Name:WARRENDER, JASON (PT)
Entity type:Individual
Prefix:
First Name:JASON
Middle Name:
Last Name:WARRENDER
Suffix:
Gender:
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1034 GROVE ST
Mailing Address - Street 2:
Mailing Address - City:MEADVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:16335-2945
Mailing Address - Country:US
Mailing Address - Phone:330-534-5000
Mailing Address - Fax:330-568-4264
Practice Address - Street 1:880 W LIBERTY ST STE 102
Practice Address - Street 2:
Practice Address - City:HUBBARD
Practice Address - State:OH
Practice Address - Zip Code:44425-1753
Practice Address - Country:US
Practice Address - Phone:330-534-5000
Practice Address - Fax:330-568-4264
Is Sole Proprietor?:No
Enumeration Date:2006-06-30
Last Update Date:2025-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT015647225100000X
OHPT010060225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist