Jet Physio Sports Physical Therapy Inc.

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

JET PHYSIO SPORTS PHYSICAL THERAPY INC.

Practice address

3020 Bridgeway
Sausalito, CA 94965-1439

Phone

(415) 237-3017

Fax

(628) 234-3054

NPI assigned

Dec 16, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Raymond Layug, PT, DPTNPI 1215484506

Title

President

Phone

(415) 237-3017

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Raymond Layug, DPT

  • Physical Therapist
  • Sausalito, CA
  • NPI 1215484506
  NPD Authorized official

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

{
    "created_epoch": "1639612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639612800000",
    "number": "1518626654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3020 BRIDGEWAY",
            "city": "SAUSALITO",
            "state": "CA",
            "postal_code": "949651439",
            "telephone_number": "415-237-3017",
            "fax_number": "628-234-3054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3020 BRIDGEWAY",
            "city": "SAUSALITO",
            "state": "CA",
            "postal_code": "949651439",
            "telephone_number": "415-237-3017",
            "fax_number": "628-234-3054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JET PHYSIO SPORTS PHYSICAL THERAPY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-16",
        "last_updated": "2021-12-16",
        "certification_date": "2021-12-15",
        "status": "A",
        "authorized_official_last_name": "LAYUG",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "415-237-3017",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cassandra Renee Howard, MSOT, OTR/L
• Tatiana Eloisa Huezo, FNP-C
• Edward Jay Hyman, PH.D.
• Jennifer Beth Jackson, L.AC.
• Bradly P Jacobs, MD
• Pamela Johnson, PT
• Gradia Carolyn Junius
• Karen Lise Junker, MDIV
• Jeffrey James Kacirk, D.C.
• Mira Kanter, RD

• Physical Therapy Clinic/Center in Sausalito, CA
• Providers in Sausalito, CA by specialty
• Physical Therapy Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2021; 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.