Jennifer Wegehaupt Prugh, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT26448 Issued in FL

Practice address

2783 SW 87TH Dr
Suite 102
Gainesville, FL 32608-9375

Phone

(352) 505-6665

Fax

(352) 226-8744

NPI assigned

Jun 17, 2011

Sex

Female

Sole proprietor

No

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

Enrolled in FL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2011

Medicare assignment

May accept Medicare assignment

Group practices

Potentia Therapeutics, LLCGroup PAC ID 6103181888, 17 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Potentia Therapeutics, LLC

  • Physical Therapist
  • Tampa, FL
  • NPI 1063910982
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1308268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308268800000",
    "number": "1083909006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2783 SW 87TH DR",
            "address_2": "SUITE 102",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326089375",
            "telephone_number": "352-505-6665",
            "fax_number": "352-226-8744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2783 SW 87TH DR",
            "address_2": "SUITE 102",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326089375",
            "telephone_number": "352-505-6665",
            "fax_number": "352-226-8744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRUGH",
        "first_name": "JENNIFER",
        "middle_name": "WEGEHAUPT",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-17",
        "last_updated": "2011-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT26448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Prouty
• Charity Provancal-Black
• Michael John Provost, AA
• Nicole Provost, M.D.
• PRS & Hand Services of South Texas PLLC
• Eric Pruitt, M.D.
• Jennifer Mann Pruitt, ARNP
• Jonathan Pruitt
• William Jerry Pruitt, LMSW
• Paul E. Prusakowski, CPO, LPO

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2011; 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.