Provider Demographics
NPI:1699819011
Name:JONAS THERAPY ASSOCIATES, INC.
Entity Type:Organization
Organization Name:JONAS THERAPY ASSOCIATES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:RENAI
Authorized Official - Middle Name:KAREN
Authorized Official - Last Name:JONAS
Authorized Official - Suffix:
Authorized Official - Credentials:SLP
Authorized Official - Phone:561-361-0307
Mailing Address - Street 1:130 PINE CIR
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33432-3648
Mailing Address - Country:US
Mailing Address - Phone:561-361-0307
Mailing Address - Fax:561-393-6903
Practice Address - Street 1:130 PINE CIR
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33432-3648
Practice Address - Country:US
Practice Address - Phone:561-361-0307
Practice Address - Fax:561-393-6903
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-18
Last Update Date:2011-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL880592000Medicaid