Healthcare Provider Details

I. General information

NPI: 1275602948
Provider Name (Legal Business Name): JONES & JONES OSTEOPATHIC REHABILITATION, LLP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/07/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

285 E MAIN ST SUITE LL5
SMITHTOWN NY
11787-2978
US

IV. Provider business mailing address

285 E MAIN ST SUITE LL5
SMITHTOWN NY
11787-2978
US

V. Phone/Fax

Practice location:
  • Phone: 631-366-4350
  • Fax: 631-366-4354
Mailing address:
  • Phone: 631-366-4350
  • Fax: 631-366-4354

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code204D00000X
TaxonomyNeuromusculoskeletal Medicine & OMM Physician
License Number213062
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code2081S0010X
TaxonomySports Medicine (Physical Medicine & Rehabilitation) Physician
License Number213062
License Number StateNY

VIII. Authorized Official

Name: SCOTT ALLEN JONES
Title or Position: PARTNER
Credential: D.O.
Phone: 631-366-4350