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

Individual provider Physical Therapist · NPI 1417976689

Jason M Wambold, MSPT is a Physical Therapist in Webster, New York. Licensed in New York and Pennsylvania. Registered with an NPI since 2006.

Licensed in
NY, PA
In the registry since
2006
Specialties on file
2
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Practice location Address checks out

807 Ridge Rd Ste B Webster Woods Plaza
Webster, NY 14580-2497
Phone: (585) 347-0202
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 028339 (NY)
Orthopedic Physical Therapist Taxonomy 2251X0800X · Licence 013146 (PA)

Record details

NPI number1417976689
Entity typeIndividual (Type 1)
GenderMale
Credentials MSPT
Sole proprietorNo
NPI enumeratedJuly 19, 2006
Last updated in NPPESSeptember 24, 2013

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