Organization Active NPI

Jae Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • Davie, FL
National Provider Identifier
1942900840
Registry record updated Mar 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
JAE PHYSICAL THERAPY, LLC
Practice address
4851 SW 148TH Ave
Davie, FL 33330-2129
Phone
(786) 361-4654
NPI assigned
Mar 8, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2023

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

Authorized official

Name
Dr. Joselyn Rodriguez, DPTNPI 1841696093
Title
Owner
Phone
(786) 361-4654

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

4851 SW 148TH Ave
Davie, FL 33330-2129

Mailing address

1813 NW 162ND Ave
Pembroke Pines, FL 33028-1707
Phone (786) 361-4654

National Provider Directory

National Provider Directory

Locations

4851 SW 148th Ave
Davie, FL 33330
Phone (786) 361-4654

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1678233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678233600000",
    "number": "1942900840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1813 NW 162ND AVE",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330281707",
            "telephone_number": "786-361-4654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4851 SW 148TH AVE",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333302129",
            "telephone_number": "786-361-4654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAE PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-08",
        "last_updated": "2023-03-08",
        "certification_date": "2023-03-08",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "JOSELYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-361-4654",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2023; 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.