Healthcare Provider Details

I. General information

NPI: 1134515166
Provider Name (Legal Business Name): SAYLOR PHYSICAL THERAPY JUPITER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/07/2015
Last Update Date: 08/28/2023
Certification Date: 08/28/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

345 JUPITER LAKES BLVD STE 300
JUPITER FL
33458-7100
US

IV. Provider business mailing address

345 JUPITER LAKES BLVD STE 300
JUPITER FL
33458-7100
US

V. Phone/Fax

Practice location:
  • Phone: 561-529-2213
  • Fax: 561-223-3895
Mailing address:
  • Phone: 561-670-0756
  • Fax: 561-223-3895

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code302R00000X
TaxonomyHealth Maintenance Organization
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code305R00000X
TaxonomyPreferred Provider Organization
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code305S00000X
TaxonomyPoint of Service
License Number
License Number State

VIII. Authorized Official

Name: JACLYN FISHER
Title or Position: CREDENTIALING
Credential:
Phone: 704-832-5383