Active NPI
Jonathan Paul Taylor Jr., DPT
- Physical Therapist
- Salem, NH
National Provider Identifier
1083489520
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5250
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Derry Sports & Rehab LLC | Physical Therapist | Current | Accepting new patients |
| Derry Sports & Rehab, LLC | Physical Therapist | Current | 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.
-
- Physical Therapist
- Derry, NH
- NPI 1487670386
-
- Physical Therapist
- Salem, NH
- NPI 1023212198
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.