Active NPI
JG Physical Therapy Corp
- Physical Therapist
- Fort Lauderdale, FL
National Provider Identifier
1013426519
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- JG PHYSICAL THERAPY CORP
- Practice address
- 1348 SE 17TH St
Fort Lauderdale, FL 33316-1708 - Phone
- (954) 530-8289
- Fax
- (754) 301-7942
- NPI assigned
- Sep 27, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Jason Goldner
- Title
- Owner
- Phone
- (954) 530-8289
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
1348 SE 17TH St
Fort Lauderdale, FL 33316-1708
Mailing address
1348 SE 17TH St
Fort Lauderdale, FL 33316-1708
Phone (954) 530-8289
Other names 1
- Physical Therapy Now Fort Lauderdale
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1506470400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1013426519",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1348 SE 17TH ST",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333161708",
"telephone_number": "954-530-8289",
"fax_number": "754-301-7942"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1348 SE 17TH ST",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333161708",
"telephone_number": "954-530-8289",
"fax_number": "754-301-7942"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JG PHYSICAL THERAPY CORP",
"organizational_subpart": "NO",
"enumeration_date": "2017-09-27",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "GOLDNER",
"authorized_official_first_name": "JASON",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "954-530-8289",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Physical Therapy Now Fort Lauderdale",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Fort Lauderdale, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.