Provider Demographics
NPI:1134515166
Name:SAYLOR PHYSICAL THERAPY JUPITER LLC
Entity Type:Organization
Organization Name:SAYLOR PHYSICAL THERAPY JUPITER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CREDENTIALING
Authorized Official - Prefix:
Authorized Official - First Name:JACLYN
Authorized Official - Middle Name:
Authorized Official - Last Name:FISHER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-832-5383
Mailing Address - Street 1:345 JUPITER LAKES BLVD
Mailing Address - Street 2:STE 300
Mailing Address - City:JUPITER
Mailing Address - State:FL
Mailing Address - Zip Code:33458-7100
Mailing Address - Country:US
Mailing Address - Phone:561-670-0756
Mailing Address - Fax:561-223-3895
Practice Address - Street 1:345 JUPITER LAKES BLVD
Practice Address - Street 2:STE 300
Practice Address - City:JUPITER
Practice Address - State:FL
Practice Address - Zip Code:33458-7100
Practice Address - Country:US
Practice Address - Phone:561-529-2213
Practice Address - Fax:561-223-3895
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SAYLOR PHYSICAL THERAPY PALM BEACH GARDENS LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-04-07
Last Update Date:2023-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization
No305R00000XManaged Care OrganizationsPreferred Provider Organization
No305S00000XManaged Care OrganizationsPoint of Service