Jennifer L. Patino

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT20023 Issued in FL

Practice address

301 N Highway 27
Suite F
Clermont, FL 34711-2447

Phone

(352) 432-3910

Fax

(352) 432-3911

NPI assigned

Jul 17, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1993

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Florida Luna Care Physical Therapy LLC

  • Physical Therapist
  • Jacksonville, FL
  • NPI 1114542032
  Medicare reassignment NPD
• Lymphedema and Physical Therapy Specialists, LLC

  • Physical Therapy Clinic/Center
  • Clermont, FL
  • NPI 1639474547

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1374019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374019200000",
    "number": "1154762250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12931 ISLAMORADA DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328378715",
            "telephone_number": "407-432-7970",
            "fax_number": "407-852-5766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 N HIGHWAY 27",
            "address_2": "SUITE F",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347112447",
            "telephone_number": "352-432-3910",
            "fax_number": "352-432-3911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATINO",
        "first_name": "JENNIFER",
        "middle_name": "L.",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-17",
        "last_updated": "2013-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT20023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pathology Professional Consultants, LLC
• Pathways to Freedom Counseling Center
• Pathways to Recovery Counseling Center LLC
• Pathways to Revelation, LLC
• Netra Patil
• Terry Patoir
• Patrick G Fairchild MD PA
• Brian Lee Patterson, MD
• Emily Marie Patterson, SLPA
• Paul McTurk LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2013; 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.