| Dr Jonathan Paul Taylor Jr, DPT | |
|
159 N Broadway, Salem, NH 03079-2136 | |
| (603) 617-3782 | |
| Not Available |
| Full Name | Dr Jonathan Paul Taylor Jr |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 159 N Broadway, Salem, New Hampshire |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083489520 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 5250 (New Hampshire) | Primary |
| Provider Name | Derry Sports & Rehab Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1487670386 PECOS PAC ID: 1052666807 Enrollment ID: O20180619001012 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jonathan Paul Taylor Jr, DPT 50 1/2 Gilman St, Nashua, NH 03060-3721 Ph: (603) 661-1207 | Dr Jonathan Paul Taylor Jr, DPT 159 N Broadway, Salem, NH 03079-2136 Ph: (603) 617-3782 |
Lauren Rashford, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2 Keewaydin Dr, Salem, NH 03079 Phone: 800-995-2673 | |
Mrs. Gerriann Samowski, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 70 Butler Street, Salem, NH 03079 Phone: 603-893-2900 Fax: 603-893-1628 | |
Mariebeth Velando, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2 Keewaydin Dr, Salem, NH 03079 Phone: 800-995-2673 Fax: 866-420-1055 | |
Dan Morin, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2 Keewaydin Dr, Salem, NH 03079 Phone: 800-995-2673 Fax: 866-420-1055 | |
Lory D. Grenier, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 70 Butler St., Salem, NH 03079 Phone: 603-893-2900 Fax: 603-893-1628 | |
Jennifer Campbell, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 70 Butler Street, Salem, NH 03079 Phone: 603-893-2900 Fax: 603-893-1628 | |
Joshua Sigsworth, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2 Keewaydin Dr, Salem, NH 03079 Phone: 800-995-1673 Fax: 866-420-1055 |