MEDICARE: JENNIFER MICHELLE JONES PT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	PT33194	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	PT33194	OTHER	FL	PT LICENSE

General Provider Information

NPI Number	:	1376056929
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNIFER MICHELLE JONES PT

Provider Business Mailing Address
First Line	:	3559 SW CORPORATE PKWY
Second Line	:
City	:	PALM CITY
State	:	FL
Zip	:	34990-8152
Country	:	US
Telephone Number	:	727-207-0566
Fax Number	:

Provider Business Practice Location Address
First Line	:	3559 SW CORPORATE PKWY
Second Line	:
City	:	PALM CITY
State	:	FL
Zip	:	34990-8152
Country	:	US
Telephone Number	:	727-207-0566
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/06/2017
Last Update Date	:	04/15/2025

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