Provider Demographics
NPI:1073106944
Name:STAY MOBILE PHYSICAL THERAPY LLC
Entity Type:Organization
Organization Name:STAY MOBILE PHYSICAL THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:DANIELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:JOLLIFF
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:330-620-2541
Mailing Address - Street 1:7651 WHITE OAK DR
Mailing Address - Street 2:
Mailing Address - City:SOLON
Mailing Address - State:OH
Mailing Address - Zip Code:44139-5562
Mailing Address - Country:US
Mailing Address - Phone:303-620-2541
Mailing Address - Fax:
Practice Address - Street 1:7651 WHITE OAK DR
Practice Address - Street 2:
Practice Address - City:SOLON
Practice Address - State:OH
Practice Address - Zip Code:44139-5562
Practice Address - Country:US
Practice Address - Phone:303-620-2541
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-11
Last Update Date:2021-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty