Individual provider Active NPI

Jessica Frykberg Vogel, OTR/L

  • Occupational Therapist
  • Palm Coast, FL
National Provider Identifier
1255943320
Registry record updated Aug 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT18035 Issued in FL
Practice address
250 Palm Coast Pkwy NE Unit 209
Palm Coast, FL 32137-8289
Phone
(386) 597-1927
NPI assigned
Aug 20, 2020
Last updated
Aug 20, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT18035 FL Primary

Addresses

Primary practice location

250 Palm Coast Pkwy NE Unit 209
Palm Coast, FL 32137-8289

Mailing address

166 Sapelo PL
Saint Johns, FL 32259-8744
Phone (904) 463-6134

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200825003415 FL Practitioner - Occupational Therapist in Private Practice 1355768193 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

5191 1St Coast Tech Pkwy
Jacksonville, FL 32224-0609
Phone (904) 427-6991

653 W 8TH St
Jacksonville, FL 32209-6511
Phone (904) 244-1680

655 W 8TH St
Jacksonville, FL 32209-6511
Phone (940) 244-4218

Merit-based Incentive Payment System (MIPS)

Final score
59.59 of 100Reported as apm
Quality
59.93
Promoting interoperability
0
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
University of Florida Jacksonville Physicians, Inc. Current Accepting new patients
PT Solutions of Pensacola LLC Occupational Therapist CurrentSince Sep 9, 2020 Accepting new patients
Southeast Orthopedic Specialists, LLC CurrentSince Aug 1, 2020 Accepting new patients
Southeast Orthopedic Specialists, LLC CurrentSince Aug 1, 2020 Accepting new patients
University of Florida Jacksonville Physicians Inc CurrentSince Apr 27, 2024 Accepting new patients
PT Solutions of Pensacola, LLC Occupational Therapist CurrentSince Sep 9, 2020 Accepting new patients
University of Florida Jacksonville Physicians, Inc. CurrentSince Apr 27, 2024 Accepting new patients

Locations

10475 Centurion Pkwy N
Ste 220
Jacksonville, FL 32256
Phone 9046340640 ext. 1014

655 W 8th St
Jacksonville, FL 32209
Phone (904) 244-1680

2001 Kingsley Ave
Orange Park, FL 32073
Phone (904) 215-7015

250 Palm Coast Pkwy NE
Unit 209A
Palm Coast, FL 32137
Phone (386) 597-1927

5860 State Highway 100 E
Unit 100
Palm Coast, FL 32164
Phone (386) 597-1903

5401 Corporate Woods Dr
Ste 300
Pensacola, FL 32504
Phone (850) 912-6840

1000 Plantation Island Dr S
Ste B2
Saint Augustine, FL 32080
Phone (904) 342-3225

Organizations & group practices 7

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": "1597881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597881600000",
    "number": "1255943320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "166 SAPELO PL",
            "city": "SAINT JOHNS",
            "state": "FL",
            "postal_code": "322598744",
            "telephone_number": "904-463-6134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 PALM COAST PKWY NE UNIT 209",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321378289",
            "telephone_number": "386-597-1927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VOGEL",
        "first_name": "JESSICA",
        "middle_name": "FRYKBERG",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-20",
        "last_updated": "2020-08-20",
        "certification_date": "2020-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT18035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Coast, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2020; 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.