Individual provider Active NPI

Joshua G Schmitt, DPT

  • Physical Therapist
  • Ponte Vedra Beach, FL
National Provider Identifier
1215163191
Registry record updated Jun 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT24702 Issued in FL
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, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
PT24702OtherFLFL 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

LicenseStateTypeSpecialty
PT24702FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Jackson Parish Therapy Center LLC Physical Therapist CurrentSince Jan 1, 2023 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.

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.

Verify at the official NPI Registry.