Jejolla Physio and Stretch LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

JEJOLLA PHYSIO AND STRETCH LLC

Practice address

10136 US Highway 19 # 36
Port Richey, FL 34668-3743

Phone

(203) 707-9298

NPI assigned

Dec 29, 2021

Organization subpart

No

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

Authorized official

Name

Alden Douane Alleyne, DOCTOR

Title

Owner

Phone

(203) 707-9298

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1640736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640736000000",
    "number": "1861152050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10136 US HIGHWAY 19 # 36",
            "city": "PORT RICHEY",
            "state": "FL",
            "postal_code": "346683743",
            "telephone_number": "203-707-9298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10136 US HIGHWAY 19 # 36",
            "city": "PORT RICHEY",
            "state": "FL",
            "postal_code": "346683743",
            "telephone_number": "203-707-9298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEJOLLA PHYSIO AND STRETCH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-29",
        "last_updated": "2021-12-29",
        "certification_date": "2021-12-29",
        "status": "A",
        "authorized_official_last_name": "ALLEYNE",
        "authorized_official_first_name": "ALDEN",
        "authorized_official_middle_name": "DOUANE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-707-9298",
        "authorized_official_credential": "DOCTOR"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Kelly Irineo
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• Faylise Cecile James, ARNP
• Harriet Joeckel
• Kathleen Ogden Johansen, RN
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• Kody Johnson
• Jones House Inc.

• Physical Therapy Clinic/Center in Port Richey, FL
• Providers in Port Richey, FL by specialty
• Physical Therapy Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 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.