Active NPI
Jeri Ellen Fitzhugh, PT
- Physical Therapist
- Venice, FL
National Provider Identifier
1316044902
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1383
- Practice address
- 312 E Venice Ave
Suite 125
Venice, FL 34285-4677 - Phone
- (941) 485-7725
- Fax
- (947) 485-7725
- NPI assigned
- Sep 17, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | 1383 | FL | Primary |
Addresses
Primary practice location
312 E Venice Ave
Suite 125
Venice, FL 34285-4677
Mailing address
312 E Venice Ave
Suite 125
Venice, FL 34285-4677
Phone (941) 485-7725
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120203000022 | FL | Practitioner - Physical Therapist in Private Practice | 5294992236 | Practice locations: Venice, FL |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
312 E Venice Ave
Suite 125
Venice, FL 34285-4671
Phone (941) 485-7725
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1383 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therapeutic Systems | Physical Therapist | Past | Accepting new patients |
| Neuromuscular Therapy Center Inc | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Physical Therapist
- Sarasota, FL
- NPI 1043335722
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158451200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1316044902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "312 E VENICE AVE",
"address_2": "SUITE 125",
"city": "VENICE",
"state": "FL",
"postal_code": "342854677",
"telephone_number": "941-485-7725",
"fax_number": "947-485-7725"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "312 E VENICE AVE",
"address_2": "SUITE 125",
"city": "VENICE",
"state": "FL",
"postal_code": "342854677",
"telephone_number": "941-485-7725",
"fax_number": "947-485-7725"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FITZHUGH",
"first_name": "JERI",
"middle_name": "ELLEN",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "1383",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Venice, FL
- Shauna Kimberly Fiorentino, OTR L CHT
- First Option Chiropractic LLC
- First Option Physical Therapy Inc
- First Solution Healthcare Associates, Inc
- Sharon Annette Fischer
- Evelyn Margaret Flaherty, MA
- Flavia Soto MD PA
- Shannon Marie Fleming
- Patricia Fletcher, MD
- Florida Cancer Physicians Network LLC (Venice Radiation Oncology Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.