Provider Demographics
NPI:1609837681
Name:HUHN, JAY ROBERT (DPT)
Entity Type:Individual
Prefix:MR
First Name:JAY
Middle Name:ROBERT
Last Name:HUHN
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 1:4814 REFUGIO AVE
Mailing Address - Street 2:
Mailing Address - City:CARLSBAD
Mailing Address - State:CA
Mailing Address - Zip Code:92008-3728
Mailing Address - Country:US
Mailing Address - Phone:760-270-8597
Mailing Address - Fax:
Practice Address - Street 1:893 WALA DR
Practice Address - Street 2:
Practice Address - City:OCEANSIDE
Practice Address - State:CA
Practice Address - Zip Code:92058-0618
Practice Address - Country:US
Practice Address - Phone:805-258-4792
Practice Address - Fax:760-453-2997
Is Sole Proprietor?:No
Enumeration Date:2006-03-30
Last Update Date:2021-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT 264432251S0007X
CAPT264432251X0800X, 225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2251S0007XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistSports
No2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic