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

Jason E Waller

Individual provider Occupational Therapist · NPI 1598191173

Jason E Waller is an Occupational Therapist in Port Orange, Florida. Practices as a sole proprietor. Registered with an NPI since 2013.

In the registry since
2013

Practice location Address checks out

5535 S Williamson Blvd
Port Orange, FL 32128-8311
Phone: (800) 330-7711
Show map & directions

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

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X

Record details

NPI number1598191173
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedSeptember 16, 2013
Last updated in NPPESSeptember 16, 2013
Mailing address5301 51st St Apt A7, Lubbock, TX 79414-1847

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