Individual provider Active NPI

Jon-Patric Nelson, PT, DPT

  • Physical Therapist
  • Wesley Chapel, FL
National Provider Identifier
1306472477
Registry record updated Sep 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT35644 Issued in FL
Practice address
27251 Wesley Chapel Blvd Ste 1045
Wesley Chapel, FL 33544-4285
Phone
(954) 864-3186
NPI assigned
Mar 20, 2020
Last updated
Sep 4, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2024

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 PT35644 FL Primary

Addresses

Primary practice location

27251 Wesley Chapel Blvd Ste 1045
Wesley Chapel, FL 33544-4285

Mailing address

27251 Wesley Chapel Blvd Ste 1045
Wesley Chapel, FL 33544-4285

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, TN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220422002359 FL Practitioner - Physical Therapist in Private Practice 0840687737 Reassigns benefits to 2 organizations
I20241106000805 TN Practitioner - Physical Therapist in Private Practice 0840687737 Reassigns benefits to 1 organization
Practice locations: Nashville, TN

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tennessee Luna Care Physical Therapy LLCGroup PAC ID 1456740323, 7 clinicians

Practice addresses (Care Compare)

27251 Wesley Chapel Blvd
Suite 1045
Wesley Chapel, FL 33544-4285
Phone (954) 864-3186

5016 Centennial Blvd
Suite 200
Nashville, TN 37209-1577
Phone (866) 525-3175

Merit-based Incentive Payment System (MIPS)

Final score
83.26 of 100Reported as group
Quality
86.58
Improvement activities
40
Cost
68.79

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Tennessee Luna Care Physical Therapy LLC Physical Therapist CurrentSince Sep 20, 2024 Accepting new patients
Florida Luna Care Physical Therapy LLC Physical Therapist CurrentSince Apr 20, 2022 Accepting new patients
Nelsondpt, LLC Physical Therapist CurrentSince Oct 23, 2023 Accepting new patients
Select Physical Therapy Holdings Inc PastSince Mar 1, 2020 Accepting new patients
Sports and Orthopedic Rehabilitation Services Inc PastSince Mar 1, 2020 Accepting new patients

Locations

5011 Gate Pkwy
Ste 100
Jacksonville, FL 32256
Phone (904) 326-3627

5401 W Kennedy Blvd
Ste 100
Tampa, FL 33609
Phone (813) 323-1959

27251 Wesley Chapel Blvd
Wesley Chapel, FL 33544
Phone (813) 543-9652

5016 Centennial Blvd
Ste 200
Nashville, TN 37209
Phone (615) 212-8284

Networks

  • Optimum HealthCare HMO Network

Organizations & group practices 5

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": "1584662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725408000000",
    "number": "1306472477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27251 WESLEY CHAPEL BLVD STE 1045",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335444285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27251 WESLEY CHAPEL BLVD STE 1045",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335444285",
            "telephone_number": "954-864-3186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "JON-PATRIC",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-20",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT35644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wesley Chapel, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2024; 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.