Active NPI
Caitlyn Gebhard, PT, DPT
- Physical Therapist
- Jacksonville, FL
National Provider Identifier
1093181976
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT30544
- Practice address
- 15255 Max Leggett Pkwy Ste 4100
Jacksonville, FL 32218-7277 - Phone
- (904) 427-1179
- NPI assigned
- Aug 14, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT30544 | FL | Primary |
Addresses
Primary practice location
15255 Max Leggett Pkwy Ste 4100
Jacksonville, FL 32218-7277
Mailing address
9759 San Jose Blvd
Building 3, Suite 4
Jacksonville, FL 32257
Phone (904) 288-0900
Other practice location 1
9759 San Jose Blvd
Building 3, Suite 4
Jacksonville, FL 32257
Phone (904) 288-0900
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | caitlyn.gebhard@jax.ufl.edu | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT30544 | FL | MD | Physical Therapist |
Networks
- Freedom Health HMO Network
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1592006400000",
"number": "1093181976",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9759 SAN JOSE BLVD",
"address_2": "BUILDING 3, SUITE 4",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "32257",
"telephone_number": "904-288-0900",
"fax_number": "904-288-0599"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15255 MAX LEGGETT PKWY STE 4100",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322187277",
"telephone_number": "904-427-1179"
}
],
"practiceLocations": [
{
"address_1": "9759 San Jose Blvd",
"address_2": "Building 3, Suite 4",
"address_purpose": "LOCATION",
"city": "Jacksonville",
"state": "FL",
"postal_code": "32257",
"country_code": "US",
"telephone_number": "904-288-0900",
"fax_number": "904-288-0599",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GEBHARD",
"first_name": "CAITLYN",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-08-14",
"last_updated": "2020-06-13",
"certification_date": "2020-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT30544",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "caitlyn.gebhard@jax.ufl.edu",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "15255 Max Leggett Pkwy Ste 4100",
"city": "Jacksonville",
"state": "FL",
"country_code": "US",
"postal_code": "322187277",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Jun 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.