Jessica Dyer, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT27842 Issued in FL

Practice address

2245 Plantation Center Dr Ste 57
Fleming Island, FL 32003-4311

Phone

(904) 374-1414

Fax

(877) 736-3470

NPI assigned

May 19, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Sensational Kids Therapy, PLLC

  • Pediatric Occupational Therapist
  • Fleming Island, FL
  • NPI 1518112416
  NPD (past)

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

{
    "created_epoch": "1242691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369094400000",
    "number": "1649405705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2245 PLANTATION CENTER DR STE 57",
            "city": "FLEMING ISLAND",
            "state": "FL",
            "postal_code": "320034311",
            "telephone_number": "904-374-1414",
            "fax_number": "877-736-3470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2245 PLANTATION CENTER DR STE 57",
            "city": "FLEMING ISLAND",
            "state": "FL",
            "postal_code": "320034311",
            "telephone_number": "904-374-1414",
            "fax_number": "877-736-3470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DYER",
        "first_name": "JESSICA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-19",
        "last_updated": "2013-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT27842",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT009610",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006710800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James Downey, MD
• Dr. John D Verville, DDS, PA
• Matthew James Drake
• Laura Arrison Dunton, ARNP
• Michael Edward Dutton
• East West Anesthesia LLC
• East West Laser and Ambulatory Surgery Center, LLC
• Christina Eaton, RBT
• Firas El Sabbagh, MD
• Elite Stairs ,Rails, & Trimwork Inc

• Physical Therapist in Fleming Island, FL
• Providers in Fleming Island, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.