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

Jason Pantig

Individual provider Physical Therapist · NPI 1104517374

Jason Pantig is a Physical Therapist in Southlake, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2023

Practice location Address checks out

180 State St Ste 225
Southlake, TX 76092-7632
Phone: (866) 839-6979
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 1368839 (TX)

Record details

NPI number1104517374
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMay 17, 2023
Last updated in NPPESMay 17, 2023
Certification dateMay 17, 2023
Mailing addressPo Box 2350, Rocklin, CA 95677-8350

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