Active NPI
Jennifer Ann Volz, PT,DPT
- Physical Therapist
- Saint Augustine, FL
National Provider Identifier
1508345562
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT33714
- 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
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PT33714 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT33714 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Genesis Health Development Inc | Current | Accepting new patients | |
| Genesis Health Development, Inc. | Current | 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.
-
- Rehabilitation Clinic/Center
- Jacksonville, FL
- NPI 1033154992
-
- Rehabilitation Clinic/Center
- Clermont, FL
- NPI 1528707379
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.