Theron A. Jernigan in Redington Beach - Physical Therapist
Theron A. Jernigan - NPI 1861521502
Theron A. Jernigan is a Physical Therapist in Redington Beach, Florida. Theron A. Jernigan practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Theron A. Jernigan is 1861521502. The last update date is 2010-02-21.
Theron A. Jernigan's current location address is 15851 Redington Dr, Redington Beach, Florida. You can contact this provider via phone number 7274031881 and fax number 7273978260. The mailing address for Theron A. Jernigan is 15851 Redington Dr, Redington Beach, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Theron A. Jernigan |
|---|---|
| Address | 15851 Redington Dr, Redington Beach, Florida |
| Phone Number | 7274031881 |
| Fax Number | 7273978260 |
| Sole Proprietor | N |
| Credentials | P.T. |
NPI Number Detail
| NPI Number | 1861521502 |
|---|---|
| Provider Enumeration Date | 2007-03-05 |
| Last Updated Date | 2010-02-21 |
Provider Mailing Address Detail
| Address | 15851 Redington Dr |
|---|---|
| City | Redington Beach |
| State | Florida (FL) |
| Post Code | 337081743 |
| Phone Number | 7274031881 |
| Fax Number | 7273978260 |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapist |
|---|---|
| Taxonomy | 225100000X |
| Licence No | PT0000792 |
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Definition: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and per |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| PT0000792 | FL | PHYSICAL THERAPIST |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Theron A. Jernigan by the Centers for Medicare & Medicaid Services?
The Theron A. Jernigan has been assigned the NPI (National Provider Identifier) 1861521502 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of Theron A. Jernigan?
The Theron A. Jernigan is physically situated at 15851 Redington Dr, in the city of Redington Beach, state of FL, with the postal code 337081743.
What is Theron A. Jernigan's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Theron A. Jernigan's specialized field of practice is Physical Therapist, and the corresponding taxonomy code that categorizes this area of specialization is 225100000X.
On what date did the Theron A. Jernigan receive its 1861521502 assignment from the Centers for Medicare & Medicaid Services?
The Theron A. Jernigan was assigned its 1861521502 by the Centers for Medicare & Medicaid Services on 2007-03-05.
As of what date were the details related to Theron A. Jernigan most recently updated or revised?
The information pertaining to Theron A. Jernigan, including its address, specialty, and other relevant details, was last updated or revised on 2010-02-21.