Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jason D Pendergraph

Individual provider Athletic Trainer · NPI 1063913861

Jason D Pendergraph is an Athletic Trainer in Daytona Beach, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2018

Practice location Address checks out

2441 Bellevue Ave
Daytona Beach, FL 32114-5615
Phone: (850) 485-4723
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence AL4711 (FL)

Record details

NPI number1063913861
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedFebruary 27, 2018
Last updated in NPPESFebruary 27, 2018
Mailing address1834 Wheeler Rd, Gulf Breeze, FL 32563-8824

Other providers in Daytona Beach