Individual provider · Type 1 NPI

Jason Benincasa, PT

Pediatric Physical Therapist · Baltimore, MD

NPI number 1740509769 Active

Practice location

707 N Broadway
Baltimore, MD 21205-1832

Fax (443) 923-9295

Specialties and licenses

TaxonomyCodeLicense
Pediatric Physical Therapist 2251P0200XPT 020542 (PA)
Pediatric Physical Therapist Primary 2251P0200X24412 (MD)

Pediatric Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical th…

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About NPI 1740509769

Jason Benincasa, PT's National Provider Identifier is 1740509769, issued on Jun 1, 2010. The primary taxonomy on file is Pediatric Physical Therapist (2251P0200X), and the practice location is in Baltimore, MD. The record was last updated on Mar 20, 2013.