Active NPI
Shauna Arnold Jacobs, DPT
- Physical Therapist
- Melbourne, FL
National Provider Identifier
1497761522
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT19685
- Practice address
- 709 S Harbor City Blvd
Suite 100 Greenspoon Orthopaedics
Melbourne, FL 32901 - Phone
- (321) 837-8020
- Fax
- (321) 733-6440
- NPI assigned
- Jul 31, 2006
- 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 | PT19685 | FL | Primary |
Addresses
Primary practice location
709 S Harbor City Blvd
Suite 100 Greenspoon Orthopaedics
Melbourne, FL 32901
Mailing address
6380 Anchor Lane
Rockledge, FL 32955
Phone (321) 637-8443
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Viera Sports Medicine & Orthopedic Center, Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Orthopaedic Surgery Physician
- Melbourne, FL
- NPI 1477509636
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1497761522",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6380 ANCHOR LANE",
"city": "ROCKLEDGE",
"state": "FL",
"postal_code": "32955",
"telephone_number": "321-637-8443"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "709 S HARBOR CITY BLVD",
"address_2": "SUITE 100 GREENSPOON ORTHOPAEDICS",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "32901",
"telephone_number": "321-837-8020",
"fax_number": "321-733-6440"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACOBS",
"first_name": "SHAUNA",
"middle_name": "ARNOLD",
"name_prefix": "Mrs.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT19685",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Melbourne, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.