Active NPI
Jennifer Adams Winston, D.P.T.
- Physical Therapist
- Orange Park, FL
National Provider Identifier
1538309166
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 24567
- Practice address
- 1835 Eastwest Pkwy
Suite #16
Orange Park, FL 32003-6336 - Phone
- (904) 215-3958
- NPI assigned
- Feb 22, 2009
- 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 | 24567 | FL | Primary |
Addresses
Primary practice location
1835 Eastwest Pkwy
Suite #16
Orange Park, FL 32003-6336
Mailing address
780 E Red House Branch Rd
Saint Augustine, FL 32084-6502
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24567 | FL | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physical Therapy & Rehabilitation Clinic Inc | Past | Accepting new patients | |
| Physical Therapy and Rehabiliation Clinic Inc | Physical Therapist | Past | Accepting new patients |
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.
-
- Physical Therapy Clinic/Center
- Orange Park, FL
- NPI 1386618064
-
dba Fleming Island Orthopedic and Sports Physical Therapy
- Physical Therapist
- Orange Park, FL
- NPI 1508929779
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1235260800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1303689600000",
"number": "1538309166",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "780 E RED HOUSE BRANCH RD",
"city": "SAINT AUGUSTINE",
"state": "FL",
"postal_code": "320846502"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1835 EASTWEST PKWY",
"address_2": "SUITE #16",
"city": "ORANGE PARK",
"state": "FL",
"postal_code": "320036336",
"telephone_number": "904-215-3958"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WINSTON",
"first_name": "JENNIFER",
"middle_name": "ADAMS",
"name_prefix": "Dr.",
"credential": "D.P.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-02-22",
"last_updated": "2011-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "24567",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orange Park, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.