Active NPI
Joshua G Schmitt, DPT
- Physical Therapist
- Ponte Vedra Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT24702
- Practice address
- 100 Executive Way
Suite 109
Ponte Vedra Beach, FL 32082-2715 - Phone
- (904) 543-9011
- NPI assigned
- Jun 5, 2009
- Last updated
- Jun 5, 2009
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT24702 | FL | Primary |
Addresses
Primary practice location
100 Executive Way
Suite 109
Ponte Vedra Beach, FL 32082-2715
Mailing address
128 Cedar Ridge Cir
St Augustine, FL 32080-6534
Phone (318) 366-4647
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PT24702 | Other | FL | FL PT LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT24702 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jackson Parish Therapy Center LLC | Physical Therapist | Current | Accepting new patients |
Locations
1907 E Madison Ave
Bastrop, LA 71220
Phone (318) 283-8384
900 Pershing Hwy
Jonesboro, LA 71251
Phone (318) 224-8994
1901 Roselawn Ave
Ste A
Monroe, LA 71201
Phone (318) 322-7050
Organizations & group practices 1
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.
-
dba Fyzical Therapy & Balance Centers
- Physical Therapist
- Ruston, LA
- NPI 1891794491
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1244160000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1244160000000",
"number": "1215163191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "128 CEDAR RIDGE CIR",
"city": "ST AUGUSTINE",
"state": "FL",
"postal_code": "320806534",
"telephone_number": "318-366-4647"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 EXECUTIVE WAY",
"address_2": "SUITE 109",
"city": "PONTE VEDRA BEACH",
"state": "FL",
"postal_code": "320822715",
"telephone_number": "904-543-9011"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHMITT",
"first_name": "JOSHUA",
"middle_name": "G",
"name_prefix": "Mr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-06-05",
"last_updated": "2009-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT24702",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FL PT LICENSE",
"identifier": "PT24702",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ponte Vedra Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.