Jason Pendergraph
NPI 1063913861 · Athletic Trainer · Daytona Beach, FL
Jason Pendergraph is a Athletic Trainer provider in Daytona Beach, FL (NPI 1063913861).
Provider details
- NPI number
- 1063913861
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- AL4711 (FL)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2018-02-27
- Last updated
- 2018-02-27
Frequently asked questions
- What is Jason Pendergraph's NPI number?
- Jason Pendergraph's National Provider Identifier (NPI) is 1063913861, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jason Pendergraph's specialty?
- Jason Pendergraph is listed in the NPPES registry with a primary specialty of Athletic Trainer (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Jason Pendergraph located?
- Jason Pendergraph's practice location on file with NPPES is 2441 Bellevue Ave, Daytona Beach, FL 32114-5615.
- What is Jason Pendergraph's phone number?
- The practice phone number listed in the NPPES registry for Jason Pendergraph is (850) 485-4723.
- Is Jason Pendergraph's NPI active?
- Yes — Jason Pendergraph's NPI (1063913861) is active in the NPPES registry as of the last update on 2018-02-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.