Individual provider Active NPI

Joan Kristen McLoud, PT

  • Physical Therapist
  • Jacksonville, FL
National Provider Identifier
1144225509
Registry record updated Sep 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT14724 Issued in FL
Practice address
2700 Riverside Ave Ste 4
Jacksonville, FL 32205-8233
Phone
(904) 644-8913
NPI assigned
Jun 14, 2005
Last updated
Sep 18, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 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 PT14724 FL Primary

Addresses

Primary practice location

2700 Riverside Ave Ste 4
Jacksonville, FL 32205-8233

Mailing address

705 Wells Rd Ste 300
Orange Park, FL 32073-2982
Phone (904) 282-6331

Other practice location 1

1361 13th Ave S Ste 250B
Jacksonville Beach, FL 32250-3233
Phone (904) 644-8913

Other practice location 2

280 Dundas Dr Ste 200
Jacksonville, FL 32218-5517
Phone (904) 644-8913

Other practice location 3

1821 Blanding Blvd
Middleburg, FL 32068-3839
Phone (904) 644-8913

Other practice location 4

8262 Point Meadows Dr Ste 202
Jacksonville, FL 32256-4700
Phone (904) 265-4315

Other practice location 5

1564 Kingsley Ave Ste 200
Orange Park, FL 32073-4521
Phone (904) 644-8911

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050105000634 FL Practitioner - Physical Therapist in Private Practice 8426006511 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physicians Group Services PAGroup PAC ID 1254238579, 91 clinicians

Practice addresses (Care Compare)

1821 Blanding Blvd
Suite 1
Middleburg, FL 32068-3839
Phone (904) 406-3160

1906 Southside Blvd
Jacksonville, FL 32216-1930
Phone (904) 724-3083

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT14724FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians Group Services PA CurrentSince Sep 18, 2023 Accepting new patients
Physicians Group Services PA CurrentSince Sep 18, 2023 Accepting new patients
Physicians Group Services PA Physical Therapist Past Accepting new patients
Jacksonville Orthopaedic Institute Inc Physical Therapist PastSince Jan 3, 2005 Accepting new patients

Locations

1906 Southside Blvd
Jacksonville, FL 32216
Phone (904) 724-3083

280 Dundas Dr
Ste 200
Jacksonville, FL 32218
Phone (904) 644-8913

8262 Point Meadows Dr
Ste 202
Jacksonville, FL 32256
Phone (904) 217-5810

1821 Blanding Blvd
Middleburg, FL 32068
Phone (904) 271-4096

1821 Blanding Blvd
Ste 2
Middleburg, FL 32068
Phone (904) 264-0400

1564 Kingsley Ave
Ste 200
Orange Park, FL 32073
Phone (904) 264-8801

705 Wells Rd
#300
Orange Park, FL 32073
Phone (904) 282-5474

463380 State Road 200
Unit B
Yulee, FL 32097
Phone (904) 468-3080

Interoperability endpoints

  • Direct secure messaging: joan.mcloud.1@25110.direct.athenahealth.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1118707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694995200000",
    "number": "1144225509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 WELLS RD STE 300",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320732982",
            "telephone_number": "904-282-6331",
            "fax_number": "904-619-1080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 RIVERSIDE AVE STE 4",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322058233",
            "telephone_number": "904-644-8913"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1361 13th Ave S Ste 250B",
            "address_purpose": "LOCATION",
            "city": "Jacksonville Beach",
            "state": "FL",
            "postal_code": "322503233",
            "country_code": "US",
            "telephone_number": "904-644-8913",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "280 Dundas Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322185517",
            "country_code": "US",
            "telephone_number": "904-644-8913",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1821 Blanding Blvd",
            "address_purpose": "LOCATION",
            "city": "Middleburg",
            "state": "FL",
            "postal_code": "320683839",
            "country_code": "US",
            "telephone_number": "904-644-8913",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8262 Point Meadows Dr Ste 202",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322564700",
            "country_code": "US",
            "telephone_number": "904-265-4315",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1564 Kingsley Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Orange Park",
            "state": "FL",
            "postal_code": "320734521",
            "country_code": "US",
            "telephone_number": "904-644-8911",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCLOUD",
        "first_name": "JOAN",
        "middle_name": "KRISTEN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-14",
        "last_updated": "2023-09-18",
        "certification_date": "2023-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT14724",
            "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 18, 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.