Active NPI
Jeffrey Fox
- Physical Therapy Assistant
- Alachua, FL
National Provider Identifier
1356746812
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- PTA25365
- Practice address
- 14417 NW 152ND LN
Alachua, FL 32615-8667 - Phone
- (386) 462-6400
- Fax
- (386) 462-6404
- NPI assigned
- Oct 27, 2014
- Sex
- Male
- Sole proprietor
- No
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 Therapy Assistant | 225200000X | PTA25365 | FL | Primary |
Addresses
Primary practice location
14417 NW 152ND LN
Alachua, FL 32615-8667
Mailing address
2527 NW 94TH Dr
Gainesville, FL 32606-9214
Phone (352) 514-1346
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTA25365 | FL | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1414368000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1414368000000",
"number": "1356746812",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2527 NW 94TH DR",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326069214",
"telephone_number": "352-514-1346"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14417 NW 152ND LN",
"city": "ALACHUA",
"state": "FL",
"postal_code": "326158667",
"telephone_number": "386-462-6400",
"fax_number": "386-462-6404"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOX",
"first_name": "JEFFREY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-10-27",
"last_updated": "2014-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "FL",
"license": "PTA25365",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Alachua, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.