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Active NPI 1063913861 Individual Practitioner Male Practitioner

Jason D Pendergraph

Specialist/Technologist - Athletic Trainer • Daytona Beach, FL

Professional Overview & Biography Verified Profile Summary

Jason Pendergraph is a registered healthcare professional specializing in Specialist/Technologist - Athletic Trainer in Daytona Beach, FL. Practice services are available at 2441 BELLEVUE AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2441 Bellevue Ave

Daytona Beach, FL 321145615

Telephone 8504854723
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist/Technologist - Athletic Trainer in Daytona Beach, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 6.7 Yrs
Regional Practice Density
37 Specialists

Practicing in Daytona Beach, FL (2221 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist/Technologist - Athletic Trainer Primary Specialty

NUCC Taxonomy Code: 2255A2300X

State License FL AL4711

Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active February 27, 2018

NPI status registered as active in NPPES database

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Updated Practice Location February 27, 2018

Registered at 2441 BELLEVUE AVE, DAYTONA BEACH, FL 321145615 (Tel: 8504854723)

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Updated Business Mailing Address February 27, 2018

Registered at 1834 WHEELER RD, GULF BREEZE, FL 325638824 (Tel: 8504854723)

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Provider Name / Credentials Updated February 27, 2018

Recorded as JASON PENDERGRAPH

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Medical Taxonomy / Specialty Registered (Primary Specialty) February 27, 2018

Specialist/Technologist (License #AL4711 in FL)

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Initial NPI Registration & Enumeration February 27, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1063913861
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 27, 2018
Last Update: February 27, 2018
Sole Proprietor: Yes

Mailing Address

1834 Wheeler Rd

Gulf Breeze, FL 325638824

Phone: 8504854723

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.