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

Jason Stanley Frederick, MD

Individual provider Physical Medicine & Rehabilitation Physician · NPI 1699115485

Jason Stanley Frederick, MD is a Physical Medicine and Rehabilitation in Palm Coast, Florida. Qualified in 2013, 13 years ago. Practices with National Health Rehabilitation LLC, a 152-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
13
Licensed in
FL
In the registry since
2013
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3001 Palm Coast Pkwy SE
Palm Coast, FL 32137-8209
Phone: (872) 231-3162
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1800 10th Ave, Columbus, GA 31901-1513 — (706) 571-1120

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X · Licence ME164903 (FL)

Record details

NPI number1699115485
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 26, 2013
Last updated in NPPESNovember 25, 2025
Certification dateNovember 25, 2025
Mailing addressPo Box 22239, Suite 100, New York, NY 10087-0001

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL MEDICINE AND REHABILITATION
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice National Health Rehabilitation Llc — 152 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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