JACKSONVILLE ORTHOPAEDIC INSTITUTE INC (NPI# 1154581379) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154581379 |
| Entity Type | Organization |
| Organization Name | JACKSONVILLE ORTHOPAEDIC INSTITUTE INC |
| Other Organization Name | JACKSONVILLE ORTHOPAEDIC INSTITUTE REHABILITATION |
| Practice Address |
12961 N Main St Suite 201 & 202 Jacksonville FL 32218-2769 |
| Mailing Address |
Po Box 117345 Atlanta GA 30368-7345 |
| Practice Telephone | 9047572474 |
| Practice Fax Number | 9047575541 |
| Mailing Telephone | 9043463465 |
| Mailing Fax Number | 9048586489 |
| Enumeration Date | 2008-06-11 |
| Last Update Date | 2019-01-24 |
| Authorized Official Name | TIMOTHY WALL (ADMINISTRATOR) |
| Authorized Official Telephone | 9048587045 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 225X00000X | Occupational Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Other Name | Type Code |
|---|---|
| Jacksonville Orthopaedic Institute Rehabilitation | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649826900 | Jacksonville Orthopaedic Institute Inc | Occupational Therapist | 105 Murabella Pkwy Ste 6, St Augustine, FL 32092-4540 | 2019-08-13 |
| 1467912063 | Jacksonville Orthopaedic Institute Inc | Occupational Therapist | 14534 Old Saint Augustine Rd Ste 3220, Jacksonville, FL 32258-2460 | 2019-03-21 |
| 1801381835 | Jacksonville Orthopaedic Institute Inc | Occupational Therapist | 203 Fort Wade Rd Unit 130, Ponte Vedra, FL 32081-5159 | 2018-06-22 |
| 1922263532 | Jacksonville Orthopaedic Institute Inc | Radiologic Technologist | 436 Jacksonville Dr, Jacksonville Beach, FL 32250-3812 | 2008-07-23 |
| 1891844130 | Jacksonville Orthopaedic Institute Inc | Specialist/Technologist | 1301 Monument Rd Ste 14&15, Jacksonville, FL 32225-7407 | 2007-01-09 |
| 1346399698 | Jacksonville Orthopaedic Institute Inc | Acupuncturist | 14985 Old Saint Augustine Rd, Suite 106, Jacksonville, FL 32258-9477 | 2007-01-09 |
| 1205984762 | Jacksonville Orthopaedic Institute Inc | Specialist/Technologist | 5393 Roosevelt Blvd, Suite 17, Jacksonville, FL 32210-8448 | 2007-01-08 |
| 1003912296 | Jacksonville Orthopaedic Institute Inc | Orthopaedic Surgery | 5737 Barnhill Dr, Suite 102, Jacksonville, FL 32207-7189 | 2006-09-15 |
| 1134224108 | Jacksonville Orthopaedic Institute Inc | Orthopaedic Surgery | 1845 Town Center Blvd, Suite 405, Fleming Island, FL 32003-3356 | 2006-09-14 |
| 1609319607 | Jacksonville Orthopaedic Institute Inc | Orthopaedic Surgery | 1348 S 18th St, Suite 320b, Fernandina Beach, FL 32034-4785 | 2016-11-22 |
| Street Address |
12961 N MAIN ST SUITE 201 & 202 |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32218-2769 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922003342 | Kimberly Ann Segler | Occupational Therapist | 12961 N Main St, Suite 201 & 202, Jacksonville, FL 32218-2769 | 2005-06-14 |
| 1952760225 | Nicolette Kelley | Physical Therapist | 12961 N Main St, Suite 201 & 202, Jacksonville, FL 32218-2769 | 2016-02-16 |
| 1669857959 | Kurtis P Mullaney | Physical Therapist | 12961 N Main St, Suite 201 & 202, Jacksonville, FL 32218-2769 | 2015-07-28 |
| 1972985075 | Justin Carmel | Physical Therapist | 12961 N Main St, Suite 201 & 202, Jacksonville, FL 32218-2769 | 2015-06-24 |
| 1568706406 | Meghan E Kettles | Physical Therapist | 12961 N Main St, Suite 201 & 202, Jacksonville, FL 32218-2769 | 2012-11-15 |
| 1649504804 | River City Vision Center Pa | Optometrist | 12961 N Main St, Suite 203, Jacksonville, FL 32218-2769 | 2009-09-21 |
| 1720179997 | Chandra M Williams | Optometrist | 12961 N Main St, Suite 203, Jacksonville, FL 32218-2769 | 2006-09-27 |
| 1720198435 | Peter A Conrique | Physical Therapist | 12961 N Main St, Suite 201 & 202, Jacksonville, FL 32218-2769 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629684170 | Damon Lamar Baker | Nurse Practitioner | 12533 Sampson Rd, Jacksonville, Fl, FL 32218 | 2020-09-21 |
| 1578199303 | First Coast Health Ventures, LLC | Skilled Nursing Facility | 15480 Max Leggett Parkway, Jacksonville, FL 32218 | 2020-03-12 |
| 1932679594 | Alaina Rachelle Stanley | Counselor | 11683 Spring Board Dr, Jacksonville, FL 32218 | 2018-11-27 |
| 1508345133 | War Cry Ministry Inc | Counselor | 435 Eric Ave, Jacksonville, FL 32218 | 2018-08-14 |
| 1285111484 | St Vincent's Full Service Urgent Care, LLC | Clinic/Center | 15510 Max Leggett Parkway, Ste A, Jacksonville, FL 32218 | 2018-07-20 |
| 1427544501 | Derrick Roberts | Behavioral Analyst | 11302 Forestdale Rd, Jacksonville, FL 32218 | 2018-07-02 |
| 1215420229 | Companion & Compassion LLC | Home Health | 856 Poydras Ln W, Jacksonville, FL 32218 | 2018-06-13 |
| 1952894784 | Michael Alexander Aaro | Dentist | 1840 Dunn Ave Ste 3, Jacksonville, FL 32218 | 2018-06-06 |
| 1235629445 | Melissa C Moree | Counselor | 13453 Main St. North, Suite 104, Jacksonville, FL 32218 | 2018-05-14 |
| 1861900896 | Sheila Nowlin | Physical Therapist | 1034 Dunn Ave, Jacksonville, FL 32218 | 2018-01-11 |
| Find all providers in zip 32218 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) 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 |
|---|---|---|---|---|
| 1972104198 | Kristen Dragotta | Physical Therapist | 8876 A C Skinner Pkwy Unit 8215, Jacksonville, FL 32256-0909 | 2020-11-04 |
| 1609483361 | Coastal Concierge Physical Therapy LLC | Physical Therapist | 4213 Marblewood Ln, Jacksonville, FL 32216-3614 | 2020-09-28 |
| 1902413644 | Richard Myerston | Physical Therapist | 6650 Corporate Center Pkwy Apt 717, Jacksonville, FL 32216-8730 | 2020-09-27 |
| 1003422551 | Neuro Pt, Pllc | Physical Therapist | 8777 Hampshire Glen Dr S, Jacksonville, FL 32256-9568 | 2020-09-21 |
| 1811500796 | Michael Keagan Kretz | Physical Therapist | 6320 Saint Augustine Rd Ste 1, Jacksonville, FL 32217-2813 | 2020-08-28 |
| 1235741950 | Rachel Peters | Physical Therapist | 8214 Princeton Square Blvd E Apt 808, Jacksonville, FL 32256-8309 | 2020-08-24 |
| 1780293985 | Andrew Willie Oliver | Physical Therapist | 4745 Sutton Park Ct Ste 403, Jacksonville, FL 32224-0255 | 2020-07-24 |
| 1821616004 | Andria Wilson | Physical Therapist | 11705 San Jose Blvd Ste 111, Jacksonville, FL 32223-1653 | 2020-07-14 |
| 1730701509 | Julie Anne Troche | Physical Therapist | 13421 Cedar Hammock Way, Jacksonville, FL 32226-4603 | 2020-05-14 |
| 1891335972 | Focus Physical Therapy Inc | Physical Therapist | 8301 Cypress Plaza Dr Ste 116, Jacksonville, FL 32256-4426 | 2020-01-07 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32218 |
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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.