Active NPI
Jessica Schreiner, DPT
- Physical Therapist
- Saint Augustine, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT 29002
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| PT 29002 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trittschuh Physical Therapy Inc | Physical Therapist | Current | Accepting new patients |
| Metta Health Naturals LLC | Physical Therapist | Current | Accepting new patients |
| Trittschuh Physical Therapy Inc | Physical Therapist | Current | 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.
-
- Physical Therapist
- Saint Augustine, FL
- NPI 1457041766
-
- Physical Therapist
- Deland, FL
- NPI 1083762413
-
- Physical Therapist
- Pierson, FL
- NPI 1972060937
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.