Individual provider Active NPI

Jennifer Ann Volz, PT,DPT

  • Physical Therapist
  • Saint Augustine, FL
National Provider Identifier
1508345562
Registry record updated Aug 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT33714 Issued in FL
Practice address
308 Kingsley Lake Dr Ste 801
Saint Augustine, FL 32092-3046
Phone
(904) 762-4562
NPI assigned
Aug 10, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 10, 2018

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 PT33714 FL Primary

Addresses

Primary practice location

308 Kingsley Lake Dr Ste 801
Saint Augustine, FL 32092-3046

Mailing address

604 Acorn CT
Saint Johns, FL 32259-5405
Phone (904) 762-4562

Other practice location 1

604 Acorn Ct
Saint Johns, FL 32259-5405
Phone (904) 762-4562

Other practice location 2

604 Acorn Ct
Saint Johns, FL 32259-5405
Phone (904) 762-4562

Other identifiers 1

IdentifierTypeStateIssuer
PT33714MedicaidFL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200404000216 FL Practitioner - Physical Therapist in Private Practice 8527497023 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT33714FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Genesis Health Development Inc CurrentSince Mar 1, 2020 Accepting new patients
Genesis Health Development, Inc. CurrentSince Mar 1, 2020 Accepting new patients

Locations

3599 University Blvd S
Jacksonville, FL 32216
Phone (904) 345-7600

Networks

  • Freedom Health HMO Network

Organizations & group practices 2

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": "1533859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533859200000",
    "number": "1508345562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 ACORN CT",
            "city": "SAINT JOHNS",
            "state": "FL",
            "postal_code": "322595405",
            "telephone_number": "904-762-4562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 KINGSLEY LAKE DR STE 801",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320923046",
            "telephone_number": "904-762-4562"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "604 Acorn Ct",
            "address_purpose": "LOCATION",
            "city": "Saint Johns",
            "state": "FL",
            "postal_code": "322595405",
            "country_code": "US",
            "telephone_number": "904-762-4562",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "604 Acorn Ct",
            "address_purpose": "LOCATION",
            "city": "Saint Johns",
            "state": "FL",
            "postal_code": "322595405",
            "country_code": "US",
            "telephone_number": "904-762-4562",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VOLZ",
        "first_name": "JENNIFER",
        "middle_name": "ANN",
        "credential": "PT,DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-10",
        "last_updated": "2018-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT33714",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PT33714",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Aug 10, 2018; 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.