Individual provider Active NPI

Jessica Schreiner, DPT

  • Physical Therapist
  • Saint Augustine, FL
National Provider Identifier
1487068664
Registry record updated Sep 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 29002 Issued in FL
Practice address
4475 US 1 S Ste 704
Saint Augustine, FL 32086-7282
Phone
(904) 792-3940
Fax
(833) 968-1990
NPI assigned
Jun 17, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2024

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 PT 29002 FL Primary

Addresses

Primary practice location

4475 US 1 S Ste 704
Saint Augustine, FL 32086-7282

Mailing address

4475 US 1 S Ste 704
St Augustine, FL 32086-7282
Phone (407) 782-3163

Other practice location 1

4475 US 1 S Ste 603B
Saint Augustine, FL 32086-7337
Phone (407) 782-3163

Other names 1

  • Jessica Gardner Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140808001090 FL Practitioner - Physical Therapist in Private Practice 1153548599 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Metta Health Naturals LLCGroup PAC ID 4284095126, 4 clinicians

Practice addresses (Care Compare)

4475 US 1
Suite 704
St Augustine, FL 32086-7282
Phone (407) 782-3163

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT 29002FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Trittschuh Physical Therapy Inc Physical Therapist CurrentSince Mar 5, 2018 Accepting new patients
Metta Health Naturals LLC Physical Therapist CurrentSince Jan 21, 2021 Accepting new patients
Trittschuh Physical Therapy Inc Physical Therapist CurrentSince Mar 5, 2018 Accepting new patients

Locations

890 N Boundary Ave
Ste 200
Deland, FL 32720
Phone (386) 738-3456

4475 US Highway 1 S
Ste 704
Saint Augustine, FL 32086
Phone (407) 782-3163

4475 US Highway 1 S
Ste 603B
Saint Augustine, FL 32086
Phone (407) 782-3163

Organizations & group practices 3

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": "1402963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727222400000",
    "number": "1487068664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4475 US 1 S STE 704",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320867282",
            "telephone_number": "407-782-3163",
            "fax_number": "833-968-1990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4475 US 1 S STE 704",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320867282",
            "telephone_number": "904-792-3940",
            "fax_number": "833-968-1990"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4475 US 1 S Ste 603B",
            "address_purpose": "LOCATION",
            "city": "Saint Augustine",
            "state": "FL",
            "postal_code": "320867337",
            "country_code": "US",
            "telephone_number": "407-782-3163",
            "fax_number": "833-968-1990",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHREINER",
        "first_name": "JESSICA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-17",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT 29002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "GARDNER",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Saint Augustine, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2024; 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.