Provider Demographics
NPI:1720814593
Name:JONELLE MPT PA
Entity type:Organization
Organization Name:JONELLE MPT PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRES
Authorized Official - Prefix:MRS
Authorized Official - First Name:JONELLE
Authorized Official - Middle Name:MARINELLI
Authorized Official - Last Name:ROY
Authorized Official - Suffix:
Authorized Official - Credentials:MPT
Authorized Official - Phone:561-646-7733
Mailing Address - Street 1:8956 ALEXANDRA CIR
Mailing Address - Street 2:
Mailing Address - City:WELLINGTON
Mailing Address - State:FL
Mailing Address - Zip Code:33414
Mailing Address - Country:US
Mailing Address - Phone:561-452-0681
Mailing Address - Fax:
Practice Address - Street 1:8956 ALEXANDRA CIR
Practice Address - Street 2:
Practice Address - City:WELLINGTON
Practice Address - State:FL
Practice Address - Zip Code:33414
Practice Address - Country:US
Practice Address - Phone:561-646-7733
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-10
Last Update Date:2024-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy