MEDICARE: MS. REBECCA MAE JONES DPT, 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	PT32880	FL
2	225100000X	Physical Therapist	PT-5040	HI

General Provider Information

NPI Number	:	1952812729
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. REBECCA MAE JONES DPT, PT

Provider Business Mailing Address
First Line	:	1401 S BERETANIA ST STE 550
Second Line	:
City	:	HONOLULU
State	:	HI
Zip	:	96814-1880
Country	:	US
Telephone Number	:	808-381-8947
Fax Number	:

Provider Business Practice Location Address
First Line	:	9619 S DIXIE HWY
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33156-2804
Country	:	US
Telephone Number	:	305-722-0568
Fax Number	:	305-670-0899

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

Provider Enumeration Date	:	10/19/2017
Last Update Date	:	01/22/2021

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