Organization Active NPI

Jaylorin Group Inc

  • Physical Therapy Clinic/Center
  • Hollywood, FL
National Provider Identifier
1235980939
Registry record updated Aug 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
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

Updated by the provider on Aug 30, 2024

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)CodeLicenseStatePrimary
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 Doing business as
  • The Jaylorin Group Inc. Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240920003279 FL Part B Supplier - Physical/Occupational Therapy Group in Private Practice 7618418393 Receives reassigned benefits from 3 practitioners
Practice locations: Hollywood, FL

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.