Active NPI
Jayne De la Rosa
- Developmental Therapist
- Jacksonville, FL
National Provider Identifier
1629469291
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmental Therapist
- Practice address
- 3311 Beach Blvd
Jacksonville, FL 32207-3704 - Phone
- (904) 396-1462
- Fax
- (904) 396-1199
- NPI assigned
- Feb 18, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental Therapist | 222Q00000X | Primary |
Addresses
Primary practice location
3311 Beach Blvd
Jacksonville, FL 32207-3704
Mailing address
3311 Beach Blvd
Jacksonville, FL 32207-3704
Phone (904) 396-1462
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1424217600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1424217600000",
"number": "1629469291",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3311 BEACH BLVD",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322073704",
"telephone_number": "904-396-1462",
"fax_number": "904-396-1199"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3311 BEACH BLVD",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322073704",
"telephone_number": "904-396-1462",
"fax_number": "904-396-1199"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DE LA ROSA",
"first_name": "JAYNE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-02-18",
"last_updated": "2015-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "222Q00000X",
"taxonomy_group": "",
"desc": "Developmental Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
- Jairo Antonio De la Hoz, MD
- Jonathan de la Hoz Andres De la Hoz
- Michael James De la Hunt, MD
- Jessie Jorge De la Pena, LMT
- Carolina Nadin De la Porte, M.D
- Nicole Marie De la Torre Salas, LMHC
- Ashley Marie De la Vega, DDS
- Valerie Grace Torres De Lara, M.D.
- Yomara De Los Reyes Zulueta
- Jorel De Los Santos, PT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.