Individual provider Active NPI

Jonathan Paul Taylor Jr., DPT

  • Physical Therapist
  • Salem, NH
National Provider Identifier
1083489520
Registry record updated Nov 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5250 Issued in NH
Practice address
159 N Broadway
Salem, NH 03079-2136
Phone
(603) 617-3782
NPI assigned
Nov 15, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 5250 NH Primary

Addresses

Primary practice location

159 N Broadway
Salem, NH 03079-2136

Mailing address

50 1/2 Gilman St
Nashua, NH 03060-3721
Phone (603) 661-1207

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240126003552 NH Practitioner - Physical Therapist in Private Practice 3476906397 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Derry Sports & Rehab LLC Physical Therapist CurrentSince Nov 7, 2023 Accepting new patients
Derry Sports & Rehab, LLC Physical Therapist CurrentSince Nov 7, 2023 Accepting new patients

Locations

23 Crystal Ave
Unit 2
Derry, NH 03038
Phone (603) 437-3338

45 Danville Rd
East Hampstead, NH 03826
Phone (603) 382-0019

55 Bridge St
Manchester, NH 03101

159 N Broadway
Ste 2A
Salem, NH 03079
Phone (603) 644-5900

159 N Broadway
Salem, NH 03079
Phone (603) 893-4119

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1700006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700006400000",
    "number": "1083489520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 1/2 GILMAN ST",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030603721",
            "telephone_number": "603-661-1207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "159 N BROADWAY",
            "city": "SALEM",
            "state": "NH",
            "postal_code": "030792136",
            "telephone_number": "603-617-3782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "JONATHAN",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-11-15",
        "last_updated": "2023-11-15",
        "certification_date": "2023-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NH",
            "license": "5250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2023; 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.

Verify at the official NPI Registry.