Individual provider Active NPI

Jessica Hladik

  • Physical Therapist
  • Navarre, FL
National Provider Identifier
1356184147
Registry record updated Jun 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
8199 Navarre Pkwy # 12a
Navarre, FL 32566-6941
Phone
(850) 939-1233
NPI assigned
Jun 18, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 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 Primary

Addresses

Primary practice location

8199 Navarre Pkwy # 12a
Navarre, FL 32566-6941

Mailing address

2573 Baytown Cir
Gulf Breeze, FL 32563-5506

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240726001980 FL Practitioner - Physical Therapist in Private Practice 8628514551 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pivotal Physical Therapy LLCGroup PAC ID 3870959307, 6 clinicians

Practice addresses (Care Compare)

1106 Crane Cove Blvd
Gulf Breeze, FL 32563-3190

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
PT Solutions of Pensacola, LLC Physical Therapist CurrentSince Jul 8, 2024 Accepting new patients
PT Solutions of Pensacola LLC Physical Therapist CurrentSince Jul 8, 2024 Accepting new patients
Pivotal Physical Therapy LLC Physical Therapist CurrentSince Aug 19, 2024 Accepting new patients
Premier Rehab Management, LLC Physical Therapist CurrentSince Jul 8, 2024 Accepting new patients
Premier Rehab Management, LLC Physical Therapist CurrentSince Jul 8, 2024 Accepting new patients

Locations

8199 Navarre Pkwy
#12A
Navarre, FL 32566
Phone (850) 939-1233

15 W Maxwell St
Ste 144
Pensacola, FL 32501
Phone (850) 207-5874

5401 Corporate Woods Dr
Ste 300
Pensacola, FL 32504
Phone (850) 912-6840

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1718668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718668800000",
    "number": "1356184147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2573 BAYTOWN CIR",
            "city": "GULF BREEZE",
            "state": "FL",
            "postal_code": "325635506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8199 NAVARRE PKWY # 12A",
            "city": "NAVARRE",
            "state": "FL",
            "postal_code": "325666941",
            "telephone_number": "850-939-1233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HLADIK",
        "first_name": "JESSICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-18",
        "last_updated": "2024-06-18",
        "certification_date": "2024-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Navarre, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 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.