Individual provider Active NPI

Jenna Eljaua

  • Physical Therapist
  • Boca Raton, FL
National Provider Identifier
1336821297
Registry record updated Mar 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40151 Issued in FL
Practice address
1840 N Dixie Hwy
Boca Raton, FL 33432-1845
Phone
(561) 961-4726
NPI assigned
Aug 1, 2023
Last updated
Mar 26, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 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 40151 FL Primary

Addresses

Primary practice location

1840 N Dixie Hwy
Boca Raton, FL 33432-1845

Mailing address

6520 Lake Como Ter
Miami Lakes, FL 33014-3033
Phone (305) 608-3379

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230912000591 FL Practitioner - Physical Therapist in Private Practice 3678937505 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neuro Physical Therapy and Sports Medicine LLCGroup PAC ID 0345668216, 5 clinicians

Practice addresses (Care Compare)

1840 N Dixie Hwy
Boca Raton, FL 33432-1845
Phone (561) 563-4846

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

State licenses

LicenseStateTypeSpecialty
40151FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Luna Care Physical Therapy LLC Physical Therapist CurrentSince Mar 18, 2024 Accepting new patients
Neuro Physical Therapy & Sports Medicine LLC Physical Therapist CurrentSince Feb 15, 2024 Accepting new patients
Complete Therapy USA Inc. Physical Therapist CurrentSince Aug 7, 2023 Accepting new patients
Neuro Physical Therapy & Sports Medicine II, LLC Physical Therapist PastSince Apr 21, 2024 Accepting new patients

Locations

1840 N Dixie Hwy
Boca Raton, FL 33432
Phone (561) 563-4846

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

2627 NE 203rd St
Ste 110
Miami, FL 33180
Phone (305) 466-1388

Organizations & group practices 4

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": "1690848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711411200000",
    "number": "1336821297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6520 LAKE COMO TER",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330143033",
            "telephone_number": "305-608-3379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1840 N DIXIE HWY",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334321845",
            "telephone_number": "561-961-4726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELJAUA",
        "first_name": "JENNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-01",
        "last_updated": "2024-03-26",
        "certification_date": "2024-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "40151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 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.