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Contact Information

JASON P LANTZ, PT ATC
222 MIDDLE COUNTRY ROAD
SUITE 201
SMITHTOWN, NY11787
 Phone: 631-382-4043
 Fax: 631-382-4043
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Athletic Trainer

2255A2300X
 

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for JASON P LANTZ · (Male)

NPI # 1548489511
Status Active
Credentials PT ATC
Entity Individual
Enumeration date 04/25/2007
Last updated 09/11/2025 - About 9 months ago
Sole proprietor 1 No
Identifiers
  • NY License # 001072-1
  • NY License # 0222471
  • NY Other 2307910 UNITED HEALTHCARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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