Active NPI
Ernest G Hackett, DC, RPT
- Physical Therapist
- Jupiter, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT20931
- Practice address
- 4600 Military Trail
Suite 108
Jupiter, FL 33458-4628 - Phone
- (561) 776-2285
- Fax
- (561) 776-2856
- NPI assigned
- Jul 1, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH0008906 | FL | |
| Physical Therapist | 225100000X | PT20931 | FL | Primary |
Addresses
Primary practice location
4600 Military Trail
Suite 108
Jupiter, FL 33458-4628
Mailing address
4600 Military Trail
Suite 108
Jupiter, FL 33458-4628
Phone (561) 756-7870
Other practice location 1
9401 SW Discovery Way Ste 101
Port Saint Lucie, FL 34987-2381
Phone (772) 261-6824
Other practice location 2
1050 SE Monterey Rd Ste 400
Stuart, FL 34994-4512
Phone (772) 288-2400
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Y067M | Other | FL | BLUE CROSS BLUE SHIELD OF FLORIDA |
| Y929F | Other | FL | BLUE CROSS BLUE SHIELD OF FLORIDA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1978
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
9401 SW Discovery Way
Suite 202
Port Saint Lucie, FL 34987-2381
Phone (772) 288-2400
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2216 | MA | MD | Behavioral Analyst |
| CH0008906 | FL | MD | Chiropractor |
| PT20931 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Patient First LLC | Chiropractor | Current | Accepting new patients |
| South Florida Orthopaedics & Sports Medicine,PA | Past | Accepting new patients |
Locations
4600 Military Trl
Ste 108
Jupiter, FL 33458
Phone (561) 260-5555
Interoperability endpoints
- ernest.hackettdcrpt.p1@direct.southflaortho.nextgenshare.com
Organizations & group practices 3
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.
-
- Orthopaedic Surgery Physician
- Stuart, FL
- NPI 1841253374
-
- Durable Medical Equipment & Medical Supplies
- Stuart, FL
- NPI 1639220700
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151712000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661904000000",
"number": "1144259342",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4600 MILITARY TRAIL",
"address_2": "SUITE 108",
"city": "JUPITER",
"state": "FL",
"postal_code": "334584628",
"telephone_number": "561-756-7870",
"fax_number": "561-743-1192"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4600 MILITARY TRAIL",
"address_2": "SUITE 108",
"city": "JUPITER",
"state": "FL",
"postal_code": "334584628",
"telephone_number": "561-776-2285",
"fax_number": "561-776-2856"
}
],
"practiceLocations": [
{
"address_1": "9401 SW Discovery Way Ste 101",
"address_purpose": "LOCATION",
"city": "Port Saint Lucie",
"state": "FL",
"postal_code": "349872381",
"country_code": "US",
"telephone_number": "772-261-6824",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1050 SE Monterey Rd Ste 400",
"address_purpose": "LOCATION",
"city": "Stuart",
"state": "FL",
"postal_code": "349944512",
"country_code": "US",
"telephone_number": "772-288-2400",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HACKETT",
"first_name": "ERNEST",
"middle_name": "G",
"name_prefix": "Dr.",
"credential": "DC, RPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-01",
"last_updated": "2022-08-31",
"certification_date": "2022-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH0008906",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT20931",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD OF FLORIDA",
"identifier": "Y067M",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD OF FLORIDA",
"identifier": "Y929F",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jupiter, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2022; 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.