Individual provider Active NPI

John Jump, CPO

  • Prosthetist
  • Lake Mary, FL
National Provider Identifier
1376744730
Registry record updated Aug 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthetistTaxonomy code 224P00000X
License
POR142 Issued in FL
Practice address
725 Primera Blvd Ste 205
Lake Mary, FL 32746-2127
Phone
(407) 232-9944
Fax
(407) 232-9966
NPI assigned
May 31, 2007
Reactivated
Jan 10, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthotist 222Z00000X POR142 FL
Prosthetist 224P00000X POR142 FL Primary

Addresses

Primary practice location

725 Primera Blvd Ste 205
Lake Mary, FL 32746-2127

Mailing address

725 Primera Blvd Ste 205
Lake Mary, FL 32746-2127
Phone (407) 232-9944

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

LicenseStateTypeSpecialty
POR142FLMDProsthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Unity Prosthetics and Orthotics Prosthetist CurrentSince Aug 28, 2021 Accepting new patients
Unity Prosthetics and Orthotics Prosthetist CurrentSince May 16, 2022 Accepting new patients

Locations

725 Primera Blvd
Ste 205
Lake Mary, FL 32746
Phone (407) 232-9944

Organizations & group practices 2

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": "1180569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629158400000",
    "number": "1376744730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 PRIMERA BLVD STE 205",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327462127",
            "telephone_number": "407-232-9944",
            "fax_number": "407-232-9966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 PRIMERA BLVD STE 205",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327462127",
            "telephone_number": "407-232-9944",
            "fax_number": "407-232-9966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUMP",
        "first_name": "JOHN",
        "name_prefix": "Mr.",
        "credential": "CPO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-31",
        "last_updated": "2021-08-17",
        "certification_date": "2021-08-17",
        "deactivation_date": "2010-09-21",
        "reactivation_date": "2013-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Z00000X",
            "taxonomy_group": "",
            "desc": "Orthotist",
            "state": "FL",
            "license": "POR142",
            "primary": false
        },
        {
            "code": "224P00000X",
            "taxonomy_group": "",
            "desc": "Prosthetist",
            "state": "FL",
            "license": "POR142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Mary, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.