Individual provider Active NPI

Farha Mohamed Haji Jamaldin

  • Occupational Therapist
  • Ponte Vedra Beach, FL
National Provider Identifier
1649668096
Registry record updated Jun 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT25085 Issued in FL
Practice address
999 Crosswater Pkwy
Ponte Vedra Beach, FL 32081-1800
Phone
(904) 686-2000
NPI assigned
Jan 7, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT25085 FL Primary

Addresses

Primary practice location

999 Crosswater Pkwy
Ponte Vedra Beach, FL 32081-1800

Mailing address

348 Silver Creek Cir Apt 4
Jacksonville, FL 32216-1973
Phone (904) 899-3270

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240622000127 FL Practitioner - Occupational Therapist in Private Practice 0840733523 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Next PT Group Florida, LLCGroup PAC ID 3173865607, 43 clinicians

Practice addresses (Care Compare)

999 Crosswater Pkwy
Ponte Vedra, FL 32081-1800
Phone (775) 367-6937

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Next PT Group Florida, LLC Occupational Therapist CurrentSince May 29, 2024 Accepting new patients
Florida Laboratory Analysis, LLC Past Accepting new patients

Locations

1661 SE 31st St
Unit 3
Ocala, FL 34471
Phone (850) 380-4657

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.

NPI Registry JSON

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

{
    "created_epoch": "1420588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717891200000",
    "number": "1649668096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "348 SILVER CREEK CIR APT 4",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322161973",
            "telephone_number": "904-899-3270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "999 CROSSWATER PKWY",
            "city": "PONTE VEDRA BEACH",
            "state": "FL",
            "postal_code": "320811800",
            "telephone_number": "904-686-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAMALDIN",
        "first_name": "FARHA",
        "middle_name": "MOHAMED HAJI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-07",
        "last_updated": "2024-06-09",
        "certification_date": "2024-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT25085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponte Vedra Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2024; 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.