Individual provider Active NPI

Clint Jester

  • Physical Therapist
  • Saint Petersburg, FL
National Provider Identifier
1437645488
Registry record updated Mar 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTT33667 Issued in FL
Practice address
6775 40TH Ave N
Saint Petersburg, FL 33709-4939
Phone
(727) 803-1102
NPI assigned
Jul 2, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2019

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 PTT33667 FL Primary

Addresses

Primary practice location

6775 40TH Ave N
Saint Petersburg, FL 33709-4939

Mailing address

780 116TH Ave
Treasure Island, FL 33706-1024
Phone (813) 495-5852

Other practice location 1

922 S Missouri Ave
Clearwater, FL 33756-4298
Phone (727) 441-4549

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
PTT33667FLMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1530489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553472000000",
    "number": "1437645488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "780 116TH AVE",
            "city": "TREASURE ISLAND",
            "state": "FL",
            "postal_code": "337061024",
            "telephone_number": "813-495-5852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6775 40TH AVE N",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337094939",
            "telephone_number": "727-803-1102"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "922 S Missouri Ave",
            "address_purpose": "LOCATION",
            "city": "Clearwater",
            "state": "FL",
            "postal_code": "337564298",
            "country_code": "US",
            "telephone_number": "727-441-4549",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JESTER",
        "first_name": "CLINT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-02",
        "last_updated": "2019-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PTT33667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2019; 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.