Individual provider Active NPI

Jamie Vernaglia, DPT

  • Physical Therapist
  • St Augustine, FL
National Provider Identifier
1588384242
Registry record updated Sep 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT38397 Issued in FL
Practice address
1 University Blvd
St Augustine, FL 32086-5799
Phone
(904) 829-3411
Fax
(904) 829-3412
NPI assigned
Sep 1, 2022
Last updated
Sep 1, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2022

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 PT38397 FL Primary

Addresses

Primary practice location

1 University Blvd
St Augustine, FL 32086-5799

Mailing address

1 University Blvd
St Augustine, FL 32086-5799
Phone (904) 829-3411

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221216000928 FL Practitioner - Physical Therapist in Private Practice 3678942489 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
First Coast Physical Therapy IncGroup PAC ID 9436255973, 16 clinicians

Practice addresses (Care Compare)

2630 US 1
St Augustine, FL 32086-6191
Phone (904) 829-3411

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
First Coast Physical Therapy Inc Physical Therapist CurrentSince Sep 14, 2022 Accepting new patients

Locations

2630 US Highway 1 S
Saint Augustine, FL 32086
Phone (904) 829-3411

1 University Blvd
St Augustine, FL 32086
Phone (904) 826-0084

209 Blackford Way
Ste A
St Augustine, FL 32086
Phone (904) 907-1122

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1661990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661990400000",
    "number": "1588384242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 UNIVERSITY BLVD",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320865799",
            "telephone_number": "904-829-3411",
            "fax_number": "904-829-3412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 UNIVERSITY BLVD",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320865799",
            "telephone_number": "904-829-3411",
            "fax_number": "904-829-3412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERNAGLIA",
        "first_name": "JAMIE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-09-01",
        "last_updated": "2022-09-01",
        "certification_date": "2022-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT38397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Augustine, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2022; 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.