Provider Demographics
NPI: | 1760082085 |
---|---|
Name: | JONES PHYSICAL THERAPY |
Entity type: | Organization |
Organization Name: | JONES PHYSICAL THERAPY |
Other - Org Name: | <UNAVAIL> |
Other - Org Type: | |
Authorized Official - Title/Position: | OWNER/PHYSICAL THERAPIST |
Authorized Official - Prefix: | |
Authorized Official - First Name: | JENNIFER |
Authorized Official - Middle Name: | MICHELLE |
Authorized Official - Last Name: | JONES |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | DPT |
Authorized Official - Phone: | 772-370-0750 |
Mailing Address - Street 1: | 3559 SW CORPORATE PKWY |
Mailing Address - Street 2: | |
Mailing Address - City: | PALM CITY |
Mailing Address - State: | FL |
Mailing Address - Zip Code: | 34990-8152 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 772-207-0566 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 3559 SW CORPORATE PKWY |
Practice Address - Street 2: | |
Practice Address - City: | PALM CITY |
Practice Address - State: | FL |
Practice Address - Zip Code: | 34990-8152 |
Practice Address - Country: | US |
Practice Address - Phone: | 772-207-0566 |
Practice Address - Fax: | |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2020-10-27 |
Last Update Date: | 2025-04-15 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 225100000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | Group - Single Specialty |