Jeffrey Austen Bedenbaugh, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT32362 Issued in FL

Practice address

10423 Centurion Pkwy N
Jacksonville, FL 32256-0527

Phone

(904) 854-2090

NPI assigned

Apr 14, 2017

Last updated

Apr 14, 2017By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Jeffrey Austen Bedenbaugh Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1492128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492128000000",
    "number": "1396279576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901 UNIVERSITY BLVD S",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322164312",
            "telephone_number": "904-345-7336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10423 CENTURION PKWY N",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322560527",
            "telephone_number": "904-854-2090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEDENBAUGH",
        "first_name": "JEFFREY",
        "middle_name": "AUSTEN",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-04-14",
        "last_updated": "2017-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT32362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEFFREY",
            "last_name": "BEDENBAUGH",
            "middle_name": "AUSTEN",
            "credential": "PT,DPT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Felicia A Beckner, CWCM, CWLC
• Lisa Evans Beckner, DPT
• Tedra Nashawn Beckton, DMD
• Rosalind L Beckwith-Brown, MS,CCC-SLP
• Joshua Michael Beddoe, RBT
• Sarah Bedford
• Michele S Bednarzyk, FNP
• Charlotte Bedsole, DNP, APRN, FNP-BC
• Charlene Bee
• Val Bee

• Physical Therapist in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2017; 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.