Jordan A Mehl, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT39366 Issued in FL

Practice address

834 Pinebrook Rd
Venice, FL 34285-7123

Phone

(941) 484-8107

Fax

(941) 484-5186

NPI assigned

Sep 7, 2022

Last updated

Nov 15, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in FL, VA2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Agility Physical Therapy and Sports Performance, LLCGroup PAC ID 3476684069, 11 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

63.05 of 100Reported as group

Quality

27.45

Improvement activities

40

Cost

73.55

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• Freedom Health HMO Network

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.

• Agility Physical Therapy & Sports Performance, LLC

  • Physical Therapist
  • Venice, FL
  • NPI 1154640027
  Medicare reassignment Care Compare group NPD
• Ivyrehab Sept, LLC

  • Physical Therapist
  • Virginia Beach, VA
  • NPI 1982657433
  Medicare reassignment NPD
• Sugar Orthopaedics PA

  • Orthopaedic Surgery Physician
  • Sarasota, FL
  • NPI 1265665681
  NPD
• Ivyrehab Sept, LLC

  • Physical Medicine & Rehabilitation Physician
  • Verona, VA
  • NPI 1235955709

  Physical Therapist

  NPD

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

{
    "created_epoch": "1662508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731628800000",
    "number": "1124749379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2451 HILLVIEW ST",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342393034",
            "telephone_number": "941-993-3201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "834 PINEBROOK RD",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342857123",
            "telephone_number": "941-484-8107",
            "fax_number": "941-484-5186"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10504 Wakeman Dr",
            "address_purpose": "LOCATION",
            "city": "Fredericksburg",
            "state": "VA",
            "postal_code": "224078040",
            "country_code": "US",
            "telephone_number": "540-315-8249",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1630 S Tuttle Ave",
            "address_purpose": "LOCATION",
            "city": "Sarasota",
            "state": "FL",
            "postal_code": "342393108",
            "country_code": "US",
            "telephone_number": "941-556-6900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEHL",
        "first_name": "JORDAN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-09-07",
        "last_updated": "2024-11-15",
        "certification_date": "2024-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT39366",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305216676",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ssugar@sugar.exscribedirect.com",
            "affiliation": "N",
            "endpointDescription": "Direct Messaging Email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1630 S Tuttle Ave",
            "city": "Sarasota",
            "state": "FL",
            "country_code": "US",
            "postal_code": "342393108",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Komal Meghat, FNP
• William L Mehserle, MD
• Neerav R Mehta, MD
• Melissa Lou Koerner LCSW LLC (Ripple Effect Therapy)
• Ana Laura Mendez
• Mental Health Sheerpa

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2024; 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.