Jennifer S Paulley
Physical Therapist in Jay, FL. Individual provider (NPI-1).
NPI number1124358403
StatusActive
Last updated in NPPESDec 19, 2020
Details
- NPI
- 1124358403
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Jennifer S Paulley
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 8, 2010
- Certification date
- Dec 19, 2020
- Last updated
- Dec 19, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PHYSICAL THERAPIST IN PRIVATE PRACTICE
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 04226 | LA | Yes |
Practice location
3964 Florida AveJay, FL 32565-1104
Phone 850-741-6715
Mailing address
3331 Summit Blvd Apt 172Pensacola, FL 32503-4331
Phone 850-741-6715 · Fax 850-204-0489
Other practice locations
210 Layton Ave
Monroe, LA 71201
Monroe, LA 71201
Phone 318-312-3640 · Fax 318-325-8232
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Physical Therapist providers in Jay, FL
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All 8 Physical Therapist providers in Jay · All 84 providers in Jay
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