Individual provider Active NPI

John Steven Remensnyder, DPT

  • Physical Therapist
  • Jacksonville, FL
National Provider Identifier
1023895752
Registry record updated Sep 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT39922 Issued in FL
Practice address
14815 Mandarin Rd Ste 102
Jacksonville, FL 32223-2607
Phone
(803) 743-2919
NPI assigned
Sep 14, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2023

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 PT39922 FL Primary

Addresses

Primary practice location

14815 Mandarin Rd Ste 102
Jacksonville, FL 32223-2607

Mailing address

922 1St St S Apt 101
Jacksonville Beach, FL 32250-6548
Phone (803) 743-2919

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240314001678 FL Practitioner - Physical Therapist in Private Practice 5294182796 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rem Rehabilitation and Wellness, LLCGroup PAC ID 5890142384, 2 clinicians

Practice addresses (Care Compare)

14815 Mandarin Rd
Suite 102
Jacksonville, FL 32223-2607
Phone (803) 743-2919

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT39922FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rem Rehabilitation & Wellness, LLC Physical Therapist CurrentSince Sep 28, 2023 Accepting new patients

Locations

14815 Mandarin Rd
Ste 102
Jacksonville, FL 32223
Phone (803) 743-2919

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1694649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694649600000",
    "number": "1023895752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "922 1ST ST S APT 101",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322506548",
            "telephone_number": "803-743-2919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14815 MANDARIN RD STE 102",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322232607",
            "telephone_number": "803-743-2919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REMENSNYDER",
        "first_name": "JOHN",
        "middle_name": "STEVEN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-09-14",
        "last_updated": "2023-09-14",
        "certification_date": "2023-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT39922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.