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

Jason J Koller, PTA

Individual provider Physical Therapy Assistant · NPI 1164644407

Jason J Koller, PTA is a Physical Therapy Assistant in Tinton Falls, New Jersey. Licensed in New Jersey. Registered with an NPI since 2007.

Licensed in
NJ
In the registry since
2007
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

3002 Essex Rd
Tinton Falls, NJ 07753-7758
Phone: (732) 643-2000
Fax: (732) 643-2056
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 40QB00177400 (NJ)

Record details

NPI number1164644407
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorNo
NPI enumeratedMay 3, 2007
Last updated in NPPESJuly 8, 2007

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