Provider Demographics
NPI:1457550196
Name:MCLAUGHLIN, JAY C (PT)
Entity Type:Individual
Prefix:
First Name:JAY
Middle Name:C
Last Name:MCLAUGHLIN
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 1:6465 WATERCREST WAY UNIT 303
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD RANCH
Mailing Address - State:FL
Mailing Address - Zip Code:34202-5243
Mailing Address - Country:US
Mailing Address - Phone:941-925-2700
Mailing Address - Fax:941-925-7744
Practice Address - Street 1:3920 BEE RIDGE RD
Practice Address - Street 2:BLDG E, UNIT G
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34233-1207
Practice Address - Country:US
Practice Address - Phone:941-925-2700
Practice Address - Fax:941-925-7744
Is Sole Proprietor?:No
Enumeration Date:2007-07-12
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT12206225100000X
CT0024042251X0800X, 225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic