Individual provider Active NPI

Adrian Bland, OT, DPT

  • Physical Therapist
  • St Augustine, FL
National Provider Identifier
1588903389
Registry record updated Dec 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT34521 Issued in FL
Practice address
105 Mariner Health Way Ste 213
St Augustine, FL 32086-3251
Phone
(904) 217-4259
NPI assigned
Feb 14, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT01631 GA
Occupational Therapist 225X00000X OT21503 FL
Occupational Therapist 225X00000X OT005481 GA
Physical Therapist 225100000X PT34521 FL Primary

Addresses

Primary practice location

105 Mariner Health Way Ste 213
St Augustine, FL 32086-3251

Mailing address

105 Mariner Health Way Ste 213
St Augustine, FL 32086-3251
Phone (904) 217-4259

Other practice location 1

2709 US Highway 17
Suite 2A
Richmond Hill, GA 31324-3796
Phone (912) 756-5699

Other practice location 2

2709 US Highway 17
Suite 2A
Richmond Hill, GA 31324-3796
Phone (912) 756-5699

Other practice location 3

3716 University Blvd S Ste 4
Jacksonville, FL 32216
Phone (904) 733-8133

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191001000925 FL Practitioner - Physical Therapist in Private Practice 2769712983 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Saint Augustine Rehabilitation Specialists LLCGroup PAC ID 8426107293, 38 clinicians

Practice addresses (Care Compare)

St Augustine, FL 32080
Phone (970) 471-6480

105 Mariner Health Way
Suite 213
St Augustine, FL 32086-3251
Phone (904) 217-4259

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT01631GAMDPhysical Therapist
OT21503FLMDOccupational Therapist
OT005481GAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Augustine Rehabilitation Specialists LLC Physical Therapist CurrentSince Jan 1, 2024 Accepting new patients
Sportscare Institute, LLC Physical Therapist CurrentSince Aug 29, 2019 Accepting new patients
Brett Huether LLC Physical Therapist CurrentSince Jan 5, 2024 Accepting new patients
CPT of Jacksonville Inc PastSince Aug 29, 2019 Accepting new patients

Locations

3716 University Blvd S
Ste 4
Jacksonville, FL 32216
Phone (904) 733-8133

7408 Lake Worth Rd
Ste 500
Lake Worth, FL 33467
Phone (561) 432-3693

105 Mariner Health Way
Ste 213
St Augustine, FL 32086
Phone (904) 217-4259

231 N New York Ave
Winter Park, FL 32789
Phone (407) 599-3700

11 Eagle Rock Ave
Ste 201
East Hanover, NJ 07936
Phone (973) 887-0115

Organizations & group practices 4

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": "1360800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703203200000",
    "number": "1588903389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 MARINER HEALTH WAY STE 213",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320863251",
            "telephone_number": "904-217-4259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 MARINER HEALTH WAY STE 213",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320863251",
            "telephone_number": "904-217-4259"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2709 US Highway 17",
            "address_2": "Suite 2A",
            "address_purpose": "LOCATION",
            "city": "Richmond Hill",
            "state": "GA",
            "postal_code": "313243796",
            "country_code": "US",
            "telephone_number": "912-756-5699",
            "fax_number": "912-756-5388",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2709 US Highway 17",
            "address_2": "Suite 2A",
            "address_purpose": "LOCATION",
            "city": "Richmond Hill",
            "state": "GA",
            "postal_code": "313243796",
            "country_code": "US",
            "telephone_number": "912-756-5699",
            "fax_number": "912-756-5388",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3716 University Blvd S Ste 4",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "32216",
            "country_code": "US",
            "telephone_number": "904-733-8133",
            "fax_number": "904-739-9006",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLAND",
        "first_name": "ADRIAN",
        "name_prefix": "Dr.",
        "credential": "OT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-14",
        "last_updated": "2023-12-22",
        "certification_date": "2023-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT01631",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT21503",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "GA",
            "license": "OT005481",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT34521",
            "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 Dec 22, 2023; 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.