| Doctor Name: | MR. JASON KEITH MAYERHOFER |
| NPI Number: | 1578841664 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MPT, CSCS |
| License Number: | 19160 |
| Business Practice Address: | 258 N Ocean Ave Patchogue, NY - 117722008 |
| Business Phone Number: | 6314953704 |
| Business Fax Number: | |
| Mailing Address: | 535e 70th St, NEW YORK |
| State: | NY |
| Postal Code: | 100214823 |
| Phone Number: | 2127747518 |
| Fax Number: | |
| NPI Enumeration Date: | 07/25/2011 |
| NPI Last Update Date: | 11/05/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 19160 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MA |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |