National Provider Identifier

Jason David Bretcko, DPT

Jason David Bretcko, DPT is listed in the NPPES registry with a primary specialty of Physical Therapist in Amherst, NY and a listed phone number of (716) 250-6492.

NPI 1104055045Amherst, NYPhysical Therapist

Profile Overview

NPI
1104055045
Provider Type
Individual
Primary Specialty
Physical Therapist
Enumeration Date
July 14, 2009
Last Updated
November 16, 2018

Practice Location

  • 3925 Sheridan Dr
  • Amherst, NY 14226-1738

Phone: (716) 250-6492

Mailing Address

  • 6169 Jog RD
  • Suite A11
  • Lake Worth, FL 33467-6579

Specialties

  • Physical Therapist (225100000X)
  • Physical Therapist (225100000X)
Full Record
NPI
1104055045
Entity Type
Individual
Last Name
Bretcko
First Name
Jason
Middle Name
David
Credential
DPT
Mailing Street Address
6169 Jog RD
Mailing Address Line 2
Suite A11
Mailing City
Lake Worth
Mailing State
FL
Mailing ZIP Code
33467-6579
Mailing Country
US
Mailing Phone
(561) 432-0111
Mailing Fax
(561) 432-1075
Practice Street Address
3925 Sheridan Dr
Practice City
Amherst
Practice State
NY
Practice ZIP Code
14226-1738
Practice Country
US
Practice Phone
(716) 250-6492
Practice Fax
(716) 250-4178
Enumeration Date
July 14, 2009
Last Updated
November 16, 2018
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physical Therapist (225100000X), Physical Therapist (225100000X)