Individual provider Active NPI

Jedidiah Meyers, PT, DPT

  • Physical Therapist
  • Gainesville, FL
National Provider Identifier
1366161242
Registry record updated Aug 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT39049 Issued in FL
Practice address
2839 SW 87TH Dr Ste 10
Gainesville, FL 32608-9376
Phone
(352) 505-6665
NPI assigned
Aug 24, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2022

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 PT39049 FL Primary

Addresses

Primary practice location

2839 SW 87TH Dr Ste 10
Gainesville, FL 32608-9376

Mailing address

2839 SW 87TH Dr Ste 10
Gainesville, FL 32608-9376
Phone (352) 505-6665

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jedm@kinetixpt.com Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220914000926 FL Practitioner - Physical Therapist in Private Practice 3072998921 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kinetix Physical Therapy P aGroup PAC ID 5092810739, 10 clinicians

Practice addresses (Care Compare)

2839 SW 87TH Dr
Suite 10
Gainesville, FL 32608-9376
Phone (352) 505-6665

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Kinetix Physical Therapy P a Physical Therapist CurrentSince Aug 22, 2022 Accepting new patients

Locations

2839 SW 87th Dr
Ste 10
Gainesville, FL 32608
Phone (352) 505-6665

Organizations & group practices 1

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": "1661299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661299200000",
    "number": "1366161242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2839 SW 87TH DR STE 10",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326089376",
            "telephone_number": "352-505-6665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2839 SW 87TH DR STE 10",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326089376",
            "telephone_number": "352-505-6665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEYERS",
        "first_name": "JEDIDIAH",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-24",
        "last_updated": "2022-08-24",
        "certification_date": "2022-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT39049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jedm@kinetixpt.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "2839 SW 87th Dr Ste 10",
            "city": "Gainesville",
            "state": "FL",
            "country_code": "US",
            "postal_code": "326089376",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 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.

Verify at the official NPI Registry.