Jason Eric Grandeo in Arlington - Orthopedic
Jason Eric Grandeo - NPI 1801008172
Jason Eric Grandeo is a Orthopedic in Arlington, Virginia. Jason Eric Grandeo practices all healthcare services and medical treatments related to Orthopedic. The NPI Number for Jason Eric Grandeo is 1801008172. The last update date is 2007-07-08.
Jason Eric Grandeo's current location address is 5130 Wilson Blvd, Arlington, Virginia. You can contact this provider via phone number 7035279557 and fax number 7035260438. The mailing address for Jason Eric Grandeo is 5130 Wilson Blvd, Arlington, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jason Eric Grandeo |
|---|---|
| Address | 5130 Wilson Blvd, Arlington, Virginia |
| Phone Number | 7035279557 |
| Fax Number | 7035260438 |
| Sole Proprietor | N |
| Credentials | MPT OCS |
NPI Number Detail
| NPI Number | 1801008172 |
|---|---|
| Provider Enumeration Date | 2007-05-07 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 5130 Wilson Blvd |
|---|---|
| City | Arlington |
| State | Virginia (VA) |
| Post Code | 22205 |
| Phone Number | 7035279557 |
| Fax Number | 7035260438 |
Provider's Primary Taxonomy Detail
| Speciality | Orthopedic |
|---|---|
| Taxonomy | 2251X0800X |
| Licence No | 2305202947 |
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Definition: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pat |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 291437 | VA | BCBS |
Post Comment/ Review Below
What is the unique provider identifier assigned to Jason Eric Grandeo?
The Jason Eric Grandeo has been issued the NPI (National Provider Identifier) 1801008172 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of Jason Eric Grandeo?
The Jason Eric Grandeo is situated at 5130 Wilson Blvd, in the city of Arlington, state of VA, with the zip code 22205.
What is Jason Eric Grandeo's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Jason Eric Grandeo's specialized field of practice is Orthopedic, and the corresponding taxonomy code that categorizes this area of specialization is 2251X0800X.
When was the Jason Eric Grandeo's 1801008172 issued?
The Jason Eric Grandeo's 1801008172 was issued on 2007-05-07.
As of what date were the details related to Jason Eric Grandeo most recently updated or revised?
The information pertaining to Jason Eric Grandeo, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.