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

Jason D Pendergraph

Individual provider Athletic Trainer · NPI 1063913861

Jason D Pendergraph is an Athletic Trainer in Daytona Beach, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2018

Practice location Address checks out

2441 Bellevue Ave
Daytona Beach, FL 32114-5615
Phone: (850) 485-4723
Show map & directions

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

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence AL4711 (FL)

Record details

NPI number1063913861
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedFebruary 27, 2018
Last updated in NPPESFebruary 27, 2018

Other providers in Daytona Beach