Active NPI
Catherine Marcella Jean-Jacques
- Physical Therapist
- Tampa, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 38076
- Practice address
- 5401 W Kennedy Blvd Ste 100
Tampa, FL 33609-2457 - Phone
- (866) 839-6979
- NPI assigned
- Oct 18, 2022
- 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 | 38076 | FL | Primary |
Addresses
Primary practice location
5401 W Kennedy Blvd Ste 100
Tampa, FL 33609-2457
Mailing address
5401 W Kennedy Blvd Ste 100
Tampa, FL 33609-2457
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, MD
Enrollment records 2
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 75.34 of 100
- Quality
- 71.58
- Improvement activities
- 40
- Cost
- 69.89
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.26 of 100
- Quality
- 86.58
- Improvement activities
- 40
- Cost
- 68.79
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38076 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Konlian,O'Neill & Associates, P.a. | Physical Therapist | Current | Accepting new patients |
| Florida Luna Care Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
| Konlian,O'Neill & Associates, P.a. | Physical Therapist | Current | 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
598 Cynwood Dr
Ste 101
Easton, MD 21601
Phone (410) 770-9720
106 Milford St
Ste 601
Salisbury, MD 21804
Phone (410) 548-7600
659 S Salisbury Blvd
Ste 1B
Salisbury, MD 21801
Phone (410) 831-3226
Organizations & group practices 3
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.
-
- Physical Therapist
- Jacksonville, FL
- NPI 1114542032
-
- Rehabilitation Practitioner
- Salisbury, MD
- NPI 1083647515
Physical Therapist
-
- Physical Therapist
- Easton, MD
- NPI 1609809151
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1666051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666051200000",
"number": "1346966629",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5401 W KENNEDY BLVD STE 100",
"city": "TAMPA",
"state": "FL",
"postal_code": "336092457"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5401 W KENNEDY BLVD STE 100",
"city": "TAMPA",
"state": "FL",
"postal_code": "336092457",
"telephone_number": "866-839-6979"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JEAN-JACQUES",
"first_name": "CATHERINE",
"middle_name": "MARCELLA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-10-18",
"last_updated": "2022-10-18",
"certification_date": "2022-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "38076",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2022; 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.