Individual provider Active NPI

Alexandra Arnold, PT

  • Physical Therapist
  • Ponte Vedra Beach, FL
National Provider Identifier
1003611021
Registry record updated Feb 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT42770 Issued in FL
Practice address
6 Fairfield Blvd Ste 6
Ponte Vedra Beach, FL 32082-4628
Phone
(904) 996-6922
Fax
(904) 996-6923
NPI assigned
Feb 14, 2025
Last updated
Feb 14, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT42770 FL Primary

Addresses

Primary practice location

6 Fairfield Blvd Ste 6
Ponte Vedra Beach, FL 32082-4628

Mailing address

4230 Pablo Professional CT Ste 155
Jacksonville, FL 32224-3223
Phone (904) 996-6922

Other practice location 1

4230 Pablo Professional Ct Ste 155
Jacksonville, FL 32224-3223
Phone (904) 996-6922

Other practice location 2

11339 Distribution Ave E
Jacksonville, FL 32256-2738
Phone (904) 996-6922

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250430001512 FL Practitioner - Physical Therapist in Private Practice 0143746388 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Physical Therapy and Rehabilitation of Jacksonville, Inc. Physical Therapist CurrentSince Mar 1, 2025 Accepting new patients
Premier Physical Therapy and Rehabilitation of Jacksonville, Inc Physical Therapist CurrentSince Feb 23, 2025 Accepting new patients
Premier Physical Therapy and Rehabilitation of Jacksonville, Inc Physical Therapist PastSince Mar 3, 2024 Accepting new patients

Locations

11339 Distribution Ave E
Jacksonville, FL 32256

4230 Pablo Professional Ct
Ste 155
Jacksonville, FL 32224

6 Fairfield Blvd
Ste 6
Ponte Vedra Beach, FL 32082
Phone (904) 373-0904

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1739491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739491200000",
    "number": "1003611021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4230 PABLO PROFESSIONAL CT STE 155",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322243223",
            "telephone_number": "904-996-6922",
            "fax_number": "904-996-6923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 FAIRFIELD BLVD STE 6",
            "city": "PONTE VEDRA BEACH",
            "state": "FL",
            "postal_code": "320824628",
            "telephone_number": "904-996-6922",
            "fax_number": "904-996-6923"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4230 Pablo Professional Ct Ste 155",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322243223",
            "country_code": "US",
            "telephone_number": "904-996-6922",
            "fax_number": "904-996-6923",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11339 Distribution Ave E",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322562738",
            "country_code": "US",
            "telephone_number": "904-996-6922",
            "fax_number": "904-996-6923",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ARNOLD",
        "first_name": "ALEXANDRA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-14",
        "last_updated": "2025-02-14",
        "certification_date": "2025-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT42770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponte Vedra Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.