Individual provider Active NPI

Jodi Margaret Fizer, P.T.

  • Physical Therapist
  • Ponte Vedra Beach, FL
National Provider Identifier
1285875526
Registry record updated Dec 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
8496 Issued in FL
Practice address
3 Turtleback TRL
Ponte Vedra Beach, FL 32082-2564
Phone
(904) 280-4312
Fax
(904) 273-2983
NPI assigned
Mar 17, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2017

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 8496 FL Primary

Addresses

Primary practice location

3 Turtleback TRL
Ponte Vedra Beach, FL 32082-2564

Mailing address

3 Turtleback TRL
Ponte Vedra Beach, FL 32082-2564
Phone (904) 280-4312

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

LicenseStateTypeSpecialty
8496FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Fizer Fitness Inc Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1237248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512518400000",
    "number": "1285875526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 TURTLEBACK TRL",
            "city": "PONTE VEDRA BEACH",
            "state": "FL",
            "postal_code": "320822564",
            "telephone_number": "904-280-4312",
            "fax_number": "904-273-2983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 TURTLEBACK TRL",
            "city": "PONTE VEDRA BEACH",
            "state": "FL",
            "postal_code": "320822564",
            "telephone_number": "904-280-4312",
            "fax_number": "904-273-2983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIZER",
        "first_name": "JODI",
        "middle_name": "MARGARET",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-17",
        "last_updated": "2017-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "8496",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Dec 6, 2017; 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.