Anthony Jacaruso

Physical Therapist · Gray, TN

Individual Active NPI

NPI number 1124394770

Practice location

406 Roy Martin Rd Ste 9
Gray, TN 37615-2245
Phone
(423) 477-1101

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NPI record

NPI
1124394770
Entity type
Individual (Type 1)
Enumeration date
March 28, 2012
Last updated
March 13, 2024
Certified
March 13, 2024
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physical Therapist Primary 225100000X 14601 TN
Physical Therapist 225100000X 018884-1 NY

Mailing address

296 Jessicas Way
Johnson City, TN 37615-3079
Phone
(917) 853-9763

About Anthony Jacaruso

Anthony Jacaruso is a healthcare provider registered in the NPI registry with the primary taxonomy Physical Therapist (code 225100000X). The practice location is 406 Roy Martin Rd Ste 9, Gray, TN 37615-2245. The NPI number 1124394770 was assigned on March 28, 2012 and the record was last updated on March 13, 2024.

Anthony Jacaruso lists 2 licenses in the registry: #14601 (TN) for Physical Therapist; #018884-1 (NY) for Physical Therapist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Anthony Jacaruso?

The NPI number is 1124394770.

What is the phone number of Anthony Jacaruso?

The phone number listed for the practice location is (423) 477-1101.

Where is Anthony Jacaruso located?

406 Roy Martin Rd Ste 9, Gray, TN 37615-2245.

What is the taxonomy code for Anthony Jacaruso?

The primary taxonomy code is 225100000X – Physical Therapist; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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