JESSICA ANN BRADDOCK (NPI# 1124340351) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124340351 |
| Entity Type | Individual |
| Full Name | JESSICA ANN BRADDOCK |
| Practice Address |
4495 Roosevelt Blvd Suite #317 Jacksonville FL 32210-3375 |
| Mailing Address |
540 Kingsley Ave Orange Park FL 32073-4830 |
| Practice Telephone | 9043844415 |
| Practice Fax Number | 9043844212 |
| Mailing Telephone | 9042642156 |
| Enumeration Date | 2010-02-15 |
| Last Update Date | 2010-02-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225200000X | Physical Therapy Assistant | PTA21789 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427181411 | Jessica Rose Braddock | Speech-Language Pathologist | 23 Mason St, Laurel, MS 39440-4437 | 2007-03-13 |
| Street Address |
4495 ROOSEVELT BLVD SUITE #317 |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32210-3375 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174594493 | Eric Christopher Deussing | Otolaryngology | 4495 Roosevelt Blvd, Suite 304-183, Jacksonville, FL 32210-3375 | 2006-01-27 |
| 1346799004 | Nathan Glen Bialek | Pharmacist | 4495 Roosevelt Blvd, Ste E-1, Jacksonville, FL 32210-3375 | 2016-09-22 |
| 1083090534 | Kurtis PColka | Physical Therapist | 4495 Roosevelt Blvd, Jacksonville, FL 32210-3375 | 2015-08-07 |
| 1821423617 | Kids First Dentistry,inc | Dentist | 4495 Roosevelt Blvd, Suite 111, Jacksonville, FL 32210-3375 | 2013-09-11 |
| 1215377213 | Paul Leonard | Pharmacist | 4495 Roosevelt Blvd, Jacksonville, FL 32210-3375 | 2013-07-05 |
| 1548507494 | Richard Jay Roberts | Pharmacist | 4495 Roosevelt Blvd, E1, Jacksonville, FL 32210-3375 | 2013-01-12 |
| 1972840924 | Tara Eden Kendall | Pharmacist | 4495 Roosevelt Blvd, Jacksonville, FL 32210-3375 | 2013-01-10 |
| 1295072270 | Victoria Anne Mayer | Pharmacist | 4495 Roosevelt Blvd, Jacksonville, FL 32210-3375 | 2013-01-10 |
| 1376866228 | Dr. Ted Brinks & Associates | Optometrist | 4495 Roosevelt Blvd, 101, Jacksonville, FL 32210-3375 | 2010-03-08 |
| 1275682395 | Michael Stephens Family Practice Inc. | Family Medicine | 4495 Roosevelt Blvd, Suite 316, Jacksonville, FL 32210-3375 | 2007-01-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326604729 | Finding Balance Counseling, LLC | Counselor | 4705 Palmer Ave, Jacksonville, FL 32210 | 2019-05-13 |
| 1609349620 | Jennifer Lash | Counselor | 4705 Palmer Avenue, Jacksonville, FL 32210 | 2019-01-03 |
| 1588147854 | Alan Craig Ashkinazy | Chiropractor | 5233 Ricker Rd Ste 102, Jacksonville, FL 32210 | 2018-09-12 |
| 1841781671 | Amanda Rodriguez-medina | Chiropractor | 6640 103rd St, Jacksonville, FL 32210 | 2018-05-29 |
| 1518457357 | Vicki Teal | Nurse Practitioner | 6488 103rd Street, Suite A, Jacksonville, FL 32210 | 2018-05-17 |
| 1811412539 | River City Companionship LLC | Clinic/Center | 7857 Delaroche Drive, Jacksonville, FL 32210 | 2017-08-03 |
| 1306366216 | Always Straight From The Heart | Homemaker | 6511 Betsy Court, Jacksonville, FL 32210 | 2017-06-21 |
| 1720538556 | Total Renal Care Inc | Clinic/Center | 5276 Blanding Blvd Ste 26, Jacksonville, FL 32210 | 2016-10-05 |
| 1700333978 | Recovery Counseling and More Inc | Clinic/Center | 4570 Saint Johns Ave, Ste B, Jacksonville, FL 32210 | 2016-09-06 |
| 1831645662 | Drucilla Young | Nurse's Aide | 1700 Blanding Blvd. 68n, Jacksonville, FL 32210 | 2016-08-31 |
| Find all providers in zip 32210 | ||||
| Taxonomy Code | 225200000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapy Assistant |
| (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of the physical therapist assistant. The PTA performs physical therapy procedures and related tasks that have been selected and delegated by the supervising physical therapist. Duties of the PTA include assisting the physical therapist in implementing treatment programs, training patients in exercised and activities of daily living, conducting treatments, and reporting to the physical therapist on the patient’s responses. In addition to direct patient care, the PTA may also perform such functions as patient transport, and clinic or equipment preparation and maintenance. Currently more than half of all states require PTAs to be licensed, registered or certified. (2) An individual who works under the supervision of a physical therapist to assist him or her in providing physical therapy services. A physical therapy assistant may, for instance, help patients follow an appropriate exercise program that will increase their strength, endurance, coordination, and range of motion and train patients to perform activities of daily life. |
| Notes: Source: (1) American Physical Therapy Association, P.O. Box 37257, Washington, D.C. 20013. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104439546 | Dylan Michael Hanna | Physical Therapy Assistant | 6170 County Road 1405, Jacksonville, TX 75766-7601 | 2020-08-25 |
| 1447860515 | Callen Logan | Physical Therapy Assistant | 7365 Steventon Way, Jacksonville, FL 32244-8179 | 2020-08-04 |
| 1346863016 | Mary Maegan Smith | Physical Therapy Assistant | 4545 State Highway 135 N, Jacksonville, TX 75766-6971 | 2020-05-28 |
| 1518513944 | Tiffany Ann Dodson | Physical Therapy Assistant | 806 Palestine St, Jacksonville, TX 75766-3128 | 2019-08-12 |
| 1427618826 | Alen Islamovic | Physical Therapy Assistant | 9745 Touchton Rd Unit 225, Jacksonville, FL 32246-4489 | 2019-06-18 |
| 1962069260 | Douglas Wade | Physical Therapy Assistant | 38 Betty Ct, Jacksonville, AL 36265-8814 | 2019-05-22 |
| 1548825219 | Mikhail Yatsishin | Physical Therapy Assistant | 13990 Bartram Park Blvd Unit 422, Jacksonville, FL 32258-5546 | 2019-05-07 |
| 1861057994 | Leonardo Sanchez | Physical Therapy Assistant | 3165 Old Acosta Rd, Jacksonville, FL 32223-4902 | 2019-05-03 |
| 1801356696 | Iuliia Vartanov | Physical Therapy Assistant | 6138 Kennerly Rd Unit 150, Jacksonville, FL 32216-4395 | 2019-03-20 |
| 1366932634 | Casey Michael Mcneill | Physical Therapy Assistant | 2054 Park St, Jacksonville, FL 32204-3810 | 2018-05-13 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32210 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.