Active NPI
Jennifer Gessler Porter, DPT, PT
- Physical Therapist
- South Daytona, FL
National Provider Identifier
1528673407
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT36023
- Practice address
- 2174 S Ridgewood Ave
South Daytona, FL 32119-2947 - Phone
- (386) 227-6077
- NPI assigned
- Sep 9, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | |||
| Physical Therapist | 225100000X | PT36023 | FL | Primary |
Addresses
Primary practice location
2174 S Ridgewood Ave
South Daytona, FL 32119-2947
Mailing address
106 Old Carriage Rd
Ponce Inlet, FL 32127-6910
Phone (352) 360-3770
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 |
|---|---|---|---|
| PT36023 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Porter Pelvic Physical Therapy | Current | Accepting new patients | |
| University Rehabilitation, LLC | Physical Therapist | Current | Accepting new patients |
| Adventist Health System-Sunbelt, Inc | Past | Accepting new patients |
Locations
733 Dunlawton Ave
Ste 103
Port Orange, FL 32127
Phone (386) 756-0077
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.
-
dba Premier Physical Therapy and Sports Medicine
- Physical Therapist
- Port Orange, FL
- NPI 1811185291
-
- Physical Therapy Clinic/Center
- Ponce Inlet, FL
- NPI 1750072450
-
dba AdventHealth Orlando
- General Acute Care Hospital
- Orlando, FL
- NPI 1306938071
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1599609600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716940800000",
"number": "1528673407",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "106 OLD CARRIAGE RD",
"city": "PONCE INLET",
"state": "FL",
"postal_code": "321276910",
"telephone_number": "352-360-3770"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2174 S RIDGEWOOD AVE",
"city": "SOUTH DAYTONA",
"state": "FL",
"postal_code": "321192947",
"telephone_number": "386-227-6077"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PORTER",
"first_name": "JENNIFER",
"middle_name": "GESSLER",
"credential": "DPT, PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-09-09",
"last_updated": "2024-05-29",
"certification_date": "2024-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT36023",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in South Daytona, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2024; 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.