Provider Demographics
NPI:1134163108
Name:JONES, JEFFREY E (PT)
Entity type:Individual
Prefix:
First Name:JEFFREY
Middle Name:E
Last Name:JONES
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3054 MORGAN RD
Mailing Address - Street 2:SUITE B
Mailing Address - City:BESSEMER
Mailing Address - State:AL
Mailing Address - Zip Code:35022-6452
Mailing Address - Country:US
Mailing Address - Phone:205-510-7477
Mailing Address - Fax:
Practice Address - Street 1:3054 MORGAN RD
Practice Address - Street 2:SUITE B
Practice Address - City:BESSEMER
Practice Address - State:AL
Practice Address - Zip Code:35022-6452
Practice Address - Country:US
Practice Address - Phone:205-510-7477
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-16
Last Update Date:2015-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALPTH4129225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL890012450Medicaid
AL102I650299Medicare Oscar/Certification