Priyanka Jaiswal

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

41398 Issued in FL

Practice address

760 Barnes Blvd Ste 103
Rockledge, FL 32955-5314

Phone

(321) 327-8509

NPI assigned

Mar 4, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Axispro Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Melbourne, FL
  • NPI 1821443474
  NPD

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

{
    "created_epoch": "1709510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709510400000",
    "number": "1053178335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "281 PROCTOR DR UNIT 11107",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329044139",
            "telephone_number": "704-307-5059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "760 BARNES BLVD STE 103",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329555314",
            "telephone_number": "321-327-8509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAISWAL",
        "first_name": "PRIYANKA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-04",
        "last_updated": "2024-03-04",
        "certification_date": "2024-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "41398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donna Jacoby, LCSW
• Jennie Jacques
• Lauren Scarborough Jadeja, D.M.D.
• Katie Jaehne
• Rita Jain, M.D.
• Ahmed Jajbhay
• Elazia James
• Jan Salge'S Better Bodies Physical Therapy, Inc.
• Laura Lee Jared, SLP
• Stephanie L Jarek

• Physical Therapist in Rockledge, FL
• Providers in Rockledge, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.