Jba South LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

JBA SOUTH LLC

Practice address

13000 Sawgrass Village Cir Ste 14
Ponte Vedra Beach, FL 32082-3078

Phone

(904) 881-7612

Fax

(770) 872-8294

NPI assigned

Nov 7, 2022

Organization subpart

No

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

Authorized official

Name

Mrs. Donne Ordile, PTNPI 1538704259

Title

Owner

Phone

(904) 881-7612

Specialties & licenses 1

Addresses

Other names 1

• Scoliosisptjax Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Donne Ordile, MPT

  • Physical Therapist
  • Jacksonville, FL
  • NPI 1538704259
  Medicare reassignment NPD Authorized official
• Nicole Edie, PTA

  • Physical Therapy Assistant
  • Ponte Vedra, FL
  • NPI 1841924404
  NPD

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

{
    "created_epoch": "1667779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667779200000",
    "number": "1144938481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4150 CORDGRASS INLET DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322501821",
            "telephone_number": "904-881-7612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13000 SAWGRASS VILLAGE CIR STE 14",
            "city": "PONTE VEDRA BEACH",
            "state": "FL",
            "postal_code": "320823078",
            "telephone_number": "904-881-7612",
            "fax_number": "770-872-8294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JBA SOUTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-07",
        "last_updated": "2022-11-07",
        "certification_date": "2022-11-06",
        "status": "A",
        "authorized_official_last_name": "ORDILE",
        "authorized_official_first_name": "DONNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-881-7612",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Scoliosisptjax",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Integrative Medical Group, USA, LLC
• Naomi Jacobs, PH.D.
• Ashley Marie Jacoby, LMHC
• Farha Mohamed Haji Jamaldin
• Janice Wachtel, PHD, LLC
• Jessica Carter O'Brien
• John B Harris MD PA
• Stephanie Kate Johns, MSN, APRN-BC
• Philip E Johnson, BS
• Kevin C Jones, M.D.

• Physical Therapist in Ponte Vedra Beach, FL
• Providers in Ponte Vedra Beach, 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 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.