Individual
MR. JASON PAUL LANTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT ATC
Contact information
Practice address
222 MIDDLE COUNTRY ROAD, SUITE 201, SMITHTOWN, NY 11787
(631) 382-4043
(631) 382-4043
Mailing address
222 MIDDLE COUNTRY ROAD, SUITE 201, SMITHTOWN, NY 11787
(631) 382-4043
(631) 382-4043
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
0222471
NY
2255A2300X
Athletic Trainer
Primary
001072-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2307910
UNITED HEALTHCARE
NY
Enumeration date
04/25/2007
Last updated
09/11/2025
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