Active NPI
Jamie Fox, DPT
- Physical Therapist
- Leesburg, FL
National Provider Identifier
1235469867
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT 24802
- Practice address
- 700 N Palmetto St
Leesburg, FL 34748-4419 - Phone
- (352) 323-5610
- Fax
- (352) 323-5659
- NPI assigned
- Jan 4, 2010
- Sex
- Female
- 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 | PT 24802 | FL | Primary |
Addresses
Primary practice location
700 N Palmetto St
Leesburg, FL 34748-4419
Mailing address
700 N Palmetto St
Leesburg, FL 34748-4419
Phone (352) 323-5610
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT 24802 | FL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1262563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1287446400000",
"number": "1235469867",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 N PALMETTO ST",
"city": "LEESBURG",
"state": "FL",
"postal_code": "347484419",
"telephone_number": "352-323-5610",
"fax_number": "352-323-5659"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 N PALMETTO ST",
"city": "LEESBURG",
"state": "FL",
"postal_code": "347484419",
"telephone_number": "352-323-5610",
"fax_number": "352-323-5659"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOX",
"first_name": "JAMIE",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-01-04",
"last_updated": "2010-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT 24802",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Leesburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.