Individual provider Active NPI

Jessica Elaine Carter Peer

  • Physical Therapist
  • Fort Myers, FL
National Provider Identifier
1427726876
Registry record updated Sep 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
37644 Issued in FL
Practice address
3033 Winkler Ave Unit 100
Fort Myers, FL 33916-9523
Phone
(239) 277-7070
NPI assigned
Sep 1, 2021
Last updated
Sep 1, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2021

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 37644 FL Primary

Addresses

Primary practice location

3033 Winkler Ave Unit 100
Fort Myers, FL 33916-9523

Mailing address

4403 Watercolor Way
Fort Myers, FL 33966-1172
Phone (352) 598-0921

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210915000854 FL Practitioner - Physical Therapist in Private Practice 2466858519 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
37644FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Healthy Peers, LLC Physical Therapist CurrentSince Sep 12, 2021 Accepting new patients
Gardner Orthopedics LLC CurrentSince Sep 2, 2021 Accepting new patients
Gardner Orthopedics, LLC CurrentSince Sep 2, 2021 Accepting new patients
Integrated Therapy Practice, PC Physical Therapist CurrentSince Apr 1, 2022 Accepting new patients

Locations

523 Cape Coral Pkwy E
Cape Coral, FL 33904
Phone (239) 549-2772

3033 Winkler Ave
Unit 100
Fort Myers, FL 33916
Phone (239) 277-7070

1608 Lincolnway
Ste G
Valparaiso, IN 46383

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1630454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630454400000",
    "number": "1427726876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4403 WATERCOLOR WAY",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339661172",
            "telephone_number": "352-598-0921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3033 WINKLER AVE UNIT 100",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339169523",
            "telephone_number": "239-277-7070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER PEER",
        "first_name": "JESSICA",
        "middle_name": "ELAINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-01",
        "last_updated": "2021-09-01",
        "certification_date": "2021-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "37644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.