JAD THERAPY LLC NPI 1235239625

NPI Information

  • NPI: 1235239625
  • Provider Name: JAD THERAPY LLC
  • Classification: Clinic/Center - 261QM2500X
  • Specialization: Medical Specialty
  • Entity Type: Organization
  • Address: 1669 SE HIGHWAY 19
    CRYSTAL RIVER, FL
    ZIP 34429
  • Phone: (352) 563-2407

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NPI Details

JAD THERAPY LLC is a medical specialty clinic center in Crystal River, FL. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). JAD THERAPY LLC NPI is 1235239625. The provider is registered as an organization entity type.

The provider's business location address is:

1669 SE HIGHWAY 19
CRYSTAL RIVER, FL
ZIP 34429
Phone: (352) 563-2407
Fax: (352) 563-2807

The provider's authorized official is James Arthur Derrenbacker .
The authorized official title is Ceo and has the following contact phone number (352) 563-2407.

The enumeration date for this NPI number is 9/25/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM2500XClinic/CenterMedical SpecialtyOS 0006090FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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