Individual ProviderJay R HartiganPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address11380 Prosperity Farms Rd. Ste. B109, Palm Beach Gardens, FL 33410(561) 803-7761(561) 707-6296PECOS EnrollmentBased on the most recent information from CMS, provider Jay R Hartigan does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 5 days ago.Profile DetailsProvider ID1053407502Provider TypeIndividualFull NameHartigan, Jay RCredentialPTGenderMaleSole ProprietorNoEnumeration Date10/4/2006Last Updated7/8/2007Contact InformationPractice LocationPractice Address11380 Prosperity Farms Rd. Ste. B109, Palm Beach Gardens, FL 33410Phone(561) 803-7761Fax(561) 803-7762Mailing LocationMailing Address18165 125th Ave. North, Jupiter, FL 33478Phone(561) 707-6296Fax(561) 575-5259Provider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense6644Florida