Provider Demographics
NPI:1407155740
Name:FRYE, JAY STEVEN (DPT)
Entity Type:Individual
Prefix:MR
First Name:JAY
Middle Name:STEVEN
Last Name:FRYE
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5432 BEE RIDGE RD STE 110
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34233-1512
Mailing Address - Country:US
Mailing Address - Phone:941-487-8740
Mailing Address - Fax:941-487-8739
Practice Address - Street 1:5432 BEE RIDGE RD STE 110
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34233
Practice Address - Country:US
Practice Address - Phone:941-487-8740
Practice Address - Fax:941-487-8739
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-25
Last Update Date:2024-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT25677225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist