Provider Demographics
NPI:1730772377
Name:J HART PHYSICAL THERAPY
Entity type:Organization
Organization Name:J HART PHYSICAL THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR OF PHYSICAL THERAPY
Authorized Official - Prefix:DR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:A
Authorized Official - Last Name:HART
Authorized Official - Suffix:
Authorized Official - Credentials:PT, DPT, CSCS, MDNC
Authorized Official - Phone:419-346-7451
Mailing Address - Street 1:5155 CORPORATE WAY STE E
Mailing Address - Street 2:
Mailing Address - City:JUPITER
Mailing Address - State:FL
Mailing Address - Zip Code:33458-4359
Mailing Address - Country:US
Mailing Address - Phone:419-346-7451
Mailing Address - Fax:
Practice Address - Street 1:5155 CORPORATE WAY STE E
Practice Address - Street 2:
Practice Address - City:JUPITER
Practice Address - State:FL
Practice Address - Zip Code:33458-4359
Practice Address - Country:US
Practice Address - Phone:419-346-7451
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-15
Last Update Date:2021-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty