Active NPI
Jaylorin Group Inc
- Physical Therapy Clinic/Center
- Hollywood, FL
National Provider Identifier
1235980939
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- Legal business name
- JAYLORIN GROUP INC
- Practice address
- 785 S State Road 7
Hollywood, FL 33023-6710 - Phone
- (754) 277-4940
- Fax
- (754) 287-2261
- NPI assigned
- Mar 29, 2024
- 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
- Desmond Jackson
- Title
- Owner
- Phone
- (754) 319-9039
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | Primary |
Addresses
Primary practice location
785 S State Road 7
Hollywood, FL 33023-6710
Mailing address
1025 E Hallandale Beach Blvd Ste 15-747
Hallandale Beach, FL 33009-4478
Phone (754) 319-9039
Other names 2
- FYZICAL Therapy & Balance Center
- The Jaylorin Group Inc.
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1025 E Hallandale Beach Blvd
Ste 15747
Hallandale Beach, FL 33009
785 S State Road 7
#785
Hollywood, FL 33023
785 S State Road 7
Hollywood, FL 33023
Phone (754) 277-4940
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Hollywood, FL
- NPI 1396793014
-
- Physical Therapist
- Miami, FL
- NPI 1699499434
-
- Physical Therapist
- Hollywood, FL
- NPI 1770004756
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1711670400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1724976000000",
"number": "1235980939",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1025 E HALLANDALE BEACH BLVD STE 15-747",
"city": "HALLANDALE BEACH",
"state": "FL",
"postal_code": "330094478",
"telephone_number": "754-319-9039"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "785 S STATE ROAD 7",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330236710",
"telephone_number": "754-277-4940",
"fax_number": "754-287-2261"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JAYLORIN GROUP INC",
"organizational_subpart": "NO",
"enumeration_date": "2024-03-29",
"last_updated": "2024-08-30",
"certification_date": "2024-08-30",
"status": "A",
"authorized_official_last_name": "JACKSON",
"authorized_official_first_name": "DESMOND",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "754-319-9039"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "FYZICAL Therapy & Balance Center",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "The Jaylorin Group Inc.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Hollywood, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2024; 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.