National Provider Identifier
Jason M Wambold, MSPT
Jason M Wambold, MSPT is listed in the NPPES registry with a primary specialty of Physical Therapist in Webster, NY and a listed phone number of (585) 347-0202.
Profile Overview
- NPI
- 1417976689
- Provider Type
- Individual
- Primary Specialty
- Physical Therapist
- Enumeration Date
- July 19, 2006
- Last Updated
- September 24, 2013
Practice Location
- 807 Ridge RD Ste B
- Webster Woods Plaza
- Webster, NY 14580-2497
Phone: (585) 347-0202
Mailing Address
- 7702 Whispers Ln
- Ontario, NY 14519-8701
Specialties
- Physical Therapist (225100000X)
- Orthopedic Physical Therapist (2251X0800X)
Full Record
- NPI
- 1417976689
- Entity Type
- Individual
- Last Name
- Wambold
- First Name
- Jason
- Middle Name
- M
- Credential
- MSPT
- Mailing Street Address
- 7702 Whispers Ln
- Mailing City
- Ontario
- Mailing State
- NY
- Mailing ZIP Code
- 14519-8701
- Mailing Country
- US
- Mailing Phone
- (585) 455-9992
- Practice Street Address
- 807 Ridge RD Ste B
- Practice Address Line 2
- Webster Woods Plaza
- Practice City
- Webster
- Practice State
- NY
- Practice ZIP Code
- 14580-2497
- Practice Country
- US
- Practice Phone
- (585) 347-0202
- Enumeration Date
- July 19, 2006
- Last Updated
- September 24, 2013
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physical Therapist (225100000X), Orthopedic Physical Therapist (2251X0800X)
- Other Identifiers
- 028339 (NY, License)