Individual provider Active NPI

Donne Ordile, MPT

  • Physical Therapist
  • Jacksonville, FL
National Provider Identifier
1538704259
Registry record updated Dec 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
18213 Issued in FL
Practice address
4150 Cordgrass Inlet Dr
Jacksonville, FL 32250-1821
Phone
(904) 881-7612
NPI assigned
Nov 18, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 12, 2019

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 18213 FL Primary

Addresses

Primary practice location

4150 Cordgrass Inlet Dr
Jacksonville, FL 32250-1821

Mailing address

4150 Cordgrass Inlet Dr
Jacksonville, FL 32250-1821
Phone (904) 372-3161

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221222001340 FL Practitioner - Physical Therapist in Private Practice 3870963465 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

13000 Sawgrass Village Cir
Suite 14
Ponte Vedra Beach, FL 32082-3078
Phone (904) 881-7612

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18213FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Jba South LLC Physical Therapist CurrentSince Aug 9, 2022 Accepting new patients

Locations

13000 Sawgrass Village Cir
Ste 14
Ponte Vedra Beach, FL 32082
Phone (904) 881-7612

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1574035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576108800000",
    "number": "1538704259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4150 CORDGRASS INLET DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322501821",
            "telephone_number": "904-372-3161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4150 CORDGRASS INLET DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322501821",
            "telephone_number": "904-881-7612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORDILE",
        "first_name": "DONNE",
        "credential": "MPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-18",
        "last_updated": "2019-12-12",
        "certification_date": "2019-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "18213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.