Provider Demographics
NPI:1700182532
Name:STRAUSS, JAROD RICHARD (DPT)
Entity Type:Individual
Prefix:
First Name:JAROD
Middle Name:RICHARD
Last Name:STRAUSS
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 1:1118 W BALTIMORE PIKE
Mailing Address - Street 2:SUITE 302
Mailing Address - City:MEDIA
Mailing Address - State:PA
Mailing Address - Zip Code:19063-6104
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1118 W BALTIMORE PIKE
Practice Address - Street 2:SUITE 302
Practice Address - City:MEDIA
Practice Address - State:PA
Practice Address - Zip Code:19063-6104
Practice Address - Country:US
Practice Address - Phone:610-744-2600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-01-26
Last Update Date:2011-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT021016225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist