Individual
DR. JASON W REGRUIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT, MS, CSCS
Contact information
Practice address
8770 MAITLAND SUMMIT BLVD, ORLANDO, FL 32810-5934
(585) 362-1433
Mailing address
8770 MAITLAND SUMMIT BLVD UNIT 2414, ORLANDO, FL 32810-6017
Taxonomy
Speciality
Code
Description
License number
State
2251S0007X
Sports Physical Therapist
Primary
PT38613
FL
2251X0800X
Orthopedic Physical Therapist
PT38613
FL
2255A2300X
Athletic Trainer
AL7618
FL
Other
Enumeration date
02/14/2018
Last updated
10/22/2025
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