Jason R Hollander, DPT
Individual provider Active NPI Physical Therapist · Lancaster, WI
NPI 1073772802 · NPPES record last updated Jun 6, 2008
Key facts
- NPI
- 1073772802
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 10621-024 (WI)
- Practice address
- 507 S Monroe St
Lancaster, WI 53813-2054 - Phone
- (608) 723-3236
- Fax
- (608) 723-3379
- NPI assigned
- Jun 6, 2008
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10621-024 | WI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grant Regional Health Center, Inc. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 10621-024 | WI | Yes |
Addresses
Primary practice location
507 S Monroe St
Lancaster, WI 53813-2054
Mailing address
507 S Monroe St
Lancaster, WI 53813-2054
Phone (608) 723-3236
Other providers in Lancaster, WI
- Madeline Hawes
- Patricia A Heer
- Debra A Hickmon
- High Point Family Medicine, LLC
- HM Counseling LLC
- Ashley Holman
- Keane Holzemer
- Homeward Bound Home Health, Inc
- Erin L Huebschman
- Kelli A Irish
All providers in Lancaster, WI · Physical Therapist in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 6, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.