JACKSONVILLE ORTHOPAEDIC INSTITUTE INC (NPI# 1942660212) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942660212 |
| Entity Type | Organization |
| Organization Name | JACKSONVILLE ORTHOPAEDIC INSTITUTE INC |
| Practice Address |
1348 S 18th St Suite 320a Fernandina Beach FL 32034-4785 |
| Mailing Address |
Po Box 117345 Atlanta GA 30368-7345 |
| Practice Telephone | 9045579021 |
| Practice Fax Number | 9045579022 |
| Mailing Telephone | 9043463465 |
| Mailing Fax Number | 9048586489 |
| Enumeration Date | 2016-03-01 |
| Last Update Date | 2019-01-08 |
| Authorized Official Name | MR. TIMOTHY E WALL (ADMINISTRATOR) |
| Authorized Official Telephone | 9048587045 |
| Authorized Official Credential | MS, ATC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225X00000X | Occupational Therapist | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | |
| Y | 225100000X | Physical Therapist | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | RR MEDICARE | CC4257 | 01 |
| 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 |
1348 S 18TH ST SUITE 320A |
| City | FERNANDINA BEACH |
| State | FL |
| Zip Code | 32034-4785 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043299860 | Jeffrey Mark Lezynski | Audiologist-Hearing Aid Fitter | 1348 S 18th St, Suite 340, Fernandina Beach, FL 32034-4785 | 2006-01-11 |
| 1609319607 | Jacksonville Orthopaedic Institute Inc | Orthopaedic Surgery | 1348 S 18th St, Suite 320b, Fernandina Beach, FL 32034-4785 | 2016-11-22 |
| 1114477940 | Baptist Ent Specialists Inc | Otolaryngology | 1348 S 18th St, Suite 340, Fernandina Beach, FL 32034-4785 | 2016-10-05 |
| 1851512990 | Zeeshan Sarwar Aziz | Otolaryngology | 1348 S 18th St, Suite 340, Fernandina Beach, FL 32034-4785 | 2007-05-02 |
| 1417048331 | Kenneth A Son | Urology | 1348 S 18th St, Fernandina Beach, FL 32034-4785 | 2006-09-27 |
| 1275636805 | Farid Ullah | Internal Medicine | 1348 S 18th St, Bldg B, Suite 200, Fernandina Beach, FL 32034-4785 | 2006-09-07 |
| 1730107103 | Steven S Harvey | Internal Medicine | 1348 S 18th St, Suite 100, Fernandina Beach, FL 32034-4755 | 2006-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871059899 | Anna Fn Chu | Dietitian, Registered | Baptist Medical Center Nassau, 1250 South 18th Street, Fernandina Beach, FL 32034 | 2019-02-14 |
| 1841784550 | Kelly Ann Sayers | Social Worker | 1890 S 14th St Ste 110, Fernandina Beach, FL 32034 | 2018-06-15 |
| 1609302611 | Christian Giovanniello | Behavior Technician | 1743 Azalea Street, Fernandina Beach, FL 32034 | 2017-05-11 |
| 1770018467 | Beckerton Chiropractic Pllc | Chiropractor | 464073 East State Road 200, Yulee, FL 32034 | 2017-05-01 |
| 1114392438 | Jayde Marie Gray | Chiropractor | 5211 South Fletcher Ave., Suite 250, Amelia Island, FL 32034 | 2015-12-11 |
| 1760858369 | Sun Gallery Inc. | Eyewear Supplier (Equipment, not the service) | 1523 Sadler Road, Fernandina Beach, FL 32034 | 2015-08-18 |
| 1124419718 | Angela L Michels | Counselor | 1890 S. 14th St., #302, Fernandina Beach, FL 32034 | 2015-02-18 |
| 1336542075 | Sara Veronica Herreros | Physician Assistant | 1865 Lime Street, Suite 100, Fernandina Beach, FL 32034 | 2014-10-08 |
| 1366789471 | Elizabeth Ann Moore | Nurse Practitioner | 1348 S 18th St Ste 340, Fernandina Beach, FL 32034 | 2013-01-09 |
| 1043564289 | Summer Suzanne Delille | Dental Hygienist | 95054 Oriole St., Fernandina Beach, FL 32034 | 2012-11-08 |
| Find all providers in zip 32034 | ||||
| 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 |
|---|---|---|---|---|
| 1841835089 | Eric Wheeler | Physical Therapist | 96279 Brady Point Rd Ste B, Fernandina Beach, FL 32034-7076 | 2019-11-12 |
| 1992175202 | Heather Rae Tuerschmann | Physical Therapist | 4800 First Coast Hwy, Ste. 240, Fernandina Beach, FL 32034-5597 | 2015-09-29 |
| 1407181191 | Kimberly M Carroll | Physical Therapist | 961687 Gateway Blvd Ste 101a, Fernandina Beach, FL 32034-9158 | 2009-10-13 |
| 1023278298 | Don James Hunter | Physical Therapist | 3100 Sea Marsh Rd, Fernandina Beach, FL 32034-5051 | 2008-06-11 |
| 1033322748 | Tarla Millar | Physical Therapist | 1885 S 14th St, Fernandina Beach, FL 32034-3033 | 2007-05-08 |
| 1952414906 | Tina Louise Heydenburg | Physical Therapist | 1897 Island Walk Way, Unit 5, Fernandina Beach, FL 32034-1948 | 2006-08-16 |
| 1689635732 | Andrew Joseph Godek | Physical Therapist | 1348 South 18th Street, Baptist Rehab, Fernandina Beach, FL 32034 | 2006-03-29 |
| 1588648463 | Kristin Lynn Smith | Physical Therapist | 1348 S 18th St Ste 320a, Fernandina Beach, FL 32034 | 2005-12-02 |
| 1679579866 | Holly Jane Mcwhorter | Physical Therapist | 1897 Island Walk Way Ste 5, Fernandina Beach, FL 32034-1949 | 2005-06-22 |
| 1760488258 | Steven T Chenoweth | Physical Therapist | 308 1/2 Centre St Ofc 2, Fernandina Beach, FL 32034-4241 | 2005-06-21 |
| Find all providers in FERNANDINA BEACH | ||||
| City | FERNANDINA BEACH |
| Zip Code | 32034 |
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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.