Jason Daniel Bjalme, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT 25862 Issued in FL

Practice address

9045 La Fontana Blvd
Suite 113
Boca Raton, FL 33434-5636

Phone

(561) 482-8007

Fax

(561) 451-2365

NPI assigned

Oct 5, 2010

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1286236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333411200000",
    "number": "1073822292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2070 HOMEWOOD BLVD APT 103",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334458210",
            "telephone_number": "561-272-6430",
            "fax_number": "561-404-0570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9045 LA FONTANA BLVD",
            "address_2": "SUITE 113",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334345636",
            "telephone_number": "561-482-8007",
            "fax_number": "561-451-2365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BJALME",
        "first_name": "JASON",
        "middle_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-10-05",
        "last_updated": "2012-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT 25862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.