Palm Beach Concierge PT, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

PALM BEACH CONCIERGE PT, LLC

Practice address

1166 Egret Cir S
Jupiter, FL 33458

Phone

(214) 668-5840

NPI assigned

Apr 27, 2020

Organization subpart

No

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

Authorized official

Name

Jessica L Jorgensen, PT, DPT, OCS

Title

Manager/Owner

Phone

(214) 668-5840

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1587945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588896000000",
    "number": "1538780978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1166 EGRET CIR S",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334588439",
            "telephone_number": "214-668-5840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1166 EGRET CIR S",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "33458",
            "telephone_number": "214-668-5840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALM BEACH CONCIERGE PT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-27",
        "last_updated": "2020-05-08",
        "certification_date": "2020-05-08",
        "status": "A",
        "authorized_official_last_name": "JORGENSEN",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MANAGER/OWNER",
        "authorized_official_telephone_number": "214-668-5840",
        "authorized_official_credential": "PT, DPT, OCS"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2020; 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.