Sally Jang, OT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

OT25659 Issued in FL

Practice address

3400 E Halifax Crossing Blvd Ste 140
Deltona, FL 32725-2914

Phone

(386) 425-6800

NPI assigned

Nov 27, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1732665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732665600000",
    "number": "1396561908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3599 UNIVERSITY BLVD S",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322164252",
            "telephone_number": "302-416-1950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 E HALIFAX CROSSING BLVD STE 140",
            "city": "DELTONA",
            "state": "FL",
            "postal_code": "327252914",
            "telephone_number": "386-425-6800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANG",
        "first_name": "SALLY",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-27",
        "last_updated": "2024-11-27",
        "certification_date": "2024-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "OT25659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacob K Agamasu MD PA
• Rozina Haider Jaffer-Bruce
• Melisha Jagat
• Theresa Michelle Jakes, OTR/L
• Mounica Jammu, PHARMD
• Jason G Rabinowitz OD PLLC
• Jay Ananthan-Nair OD P a
• Jci Family Corporation
• JD Psychiatric Services Inc
• Megan Jeffrey, M.S.

• Physical Therapist in Deltona, FL
• Providers in Deltona, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.