Individual provider Active NPI

Ernest G Hackett, DC, RPT

  • Physical Therapist
  • Jupiter, FL
National Provider Identifier
1144259342
Registry record updated Aug 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT20931 Issued in FL
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

Updated by the provider on Aug 31, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
Y067MOtherFLBLUE CROSS BLUE SHIELD OF FLORIDA
Y929FOtherFLBLUE CROSS BLUE SHIELD OF FLORIDA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050429000311 FL Practitioner - Physical Therapist in Private Practice 7618921040 Reassigns benefits to 1 organization

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
South Florida Orthopaedics and Sports Medicine, PAGroup PAC ID 6406838895, 70 clinicians

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 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2216MAMDBehavioral Analyst
CH0008906FLMDChiropractor
PT20931FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew 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

  • Direct secure messaging: 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.

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.

Verify at the official NPI Registry.