Healthcare Provider Details

I. General information

NPI: 1477967040
Provider Name (Legal Business Name): JAY HOWARD MEYER PT, DPT, MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/11/2014
Last Update Date: 08/07/2026
Certification Date: 08/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

807 N FEDERAL HWY
BOCA RATON FL
33432-2737
US

IV. Provider business mailing address

23400 SEDAWIE DR
BOCA RATON FL
33433-7655
US

V. Phone/Fax

Practice location:
  • Phone: 561-287-6486
  • Fax: 561-516-7092
Mailing address:
  • Phone: 561-716-2328
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT44670
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: