NPIMap

Organization Active NPI

Jaylynn Reynolds-Farr PT LLC

  • Physical Therapy Clinic/Center
  • Augusta, GA
National Provider Identifier
1720221427
Registry record updated Apr 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
PT005495 Issued in GA
Legal business name
JAYLYNN REYNOLDS-FARR PT LLC
Practice address
3604 Verandah Dr
Suite E
Augusta, GA 30909-5608
Phone
(706) 736-0221
Fax
(706) 736-0231
NPI assigned
Apr 9, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2009

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

Authorized official

Name
Mrs. Jaylynn Reynolds-Farr, P.T.NPI 1043387145
Title
President
Phone
(706) 736-0221

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X PT005495 GA Primary

Addresses

Primary practice location

3604 Verandah Dr
Suite E
Augusta, GA 30909-5608

Mailing address

262 Wire Rd
Thomson, GA 30824-7981
Phone (706) 595-1490

National Provider Directory

National Provider Directory

Locations

3604 Verandah Dr
Ste E
Augusta, GA 30909
Phone (706) 736-0221

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1239235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239235200000",
    "number": "1720221427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "262 WIRE RD",
            "city": "THOMSON",
            "state": "GA",
            "postal_code": "308247981",
            "telephone_number": "706-595-1490",
            "fax_number": "706-595-6070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3604 VERANDAH DR",
            "address_2": "SUITE E",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309095608",
            "telephone_number": "706-736-0221",
            "fax_number": "706-736-0231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAYLYNN REYNOLDS-FARR PT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-09",
        "last_updated": "2009-04-09",
        "status": "A",
        "authorized_official_last_name": "REYNOLDS-FARR",
        "authorized_official_first_name": "JAYLYNN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "706-736-0221",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "GA",
            "license": "PT005495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2009; 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.