Jessica Corin Jimenez, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT35564 Issued in FL

Practice address

10099 Seminole Blvd Ste A5
Seminole, FL 33772-2540

Phone

(727) 399-8226

NPI assigned

Mar 10, 2020

Last updated

Mar 10, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

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

{
    "created_epoch": "1583798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583798400000",
    "number": "1265067235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1408 SE 9TH AVE",
            "city": "OKEECHOBEE",
            "state": "FL",
            "postal_code": "349745332",
            "telephone_number": "863-801-7956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10099 SEMINOLE BLVD STE A5",
            "city": "SEMINOLE",
            "state": "FL",
            "postal_code": "337722540",
            "telephone_number": "727-399-8226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIMENEZ",
        "first_name": "JESSICA",
        "middle_name": "CORIN",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-10",
        "last_updated": "2020-03-10",
        "certification_date": "2020-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT35564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jane M. Nichilo, Arnp, LLC
• Brian Lewis Jaques, DMD
• Robert J Jenkins
• Jenna Godwin LLC
• Regla Jimenez Reyes
• Jennifer Henkel Johnson, D.M.D.
• Kenneth Todd Johnson
• Polly Anna Johnson
• Summer Johnson
• Timothy Harold Johnson, RN

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2020; 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.