Active NPI
Jodi Jainchill, PT
- Physical Therapist
- Aventura, FL
National Provider Identifier
1659354306
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT17658
- Practice address
- 2797 NE 207TH St
#101
Aventura, FL 33180-1471 - Phone
- (305) 528-1795
- Fax
- (305) 528-1795
- NPI assigned
- Nov 28, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT17658 | FL | Primary |
Addresses
Primary practice location
2797 NE 207TH St
#101
Aventura, FL 33180-1471
Mailing address
2797 NE 207TH St
#101
Aventura, FL 33180-1471
Phone (305) 528-1795
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT17658 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Transform Physical Therapy & Pilates LLC | Physical Therapist | Past | Accepting new patients |
| Balanced Body Gainesville Inc | Past | Accepting new patients |
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.
-
- Physical Medicine & Rehabilitation Physician
- Gainesville, FL
- NPI 1326002387
-
- Physical Therapist
- Aventura, FL
- NPI 1134402563
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133136000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1349222400000",
"number": "1659354306",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2797 NE 207TH ST",
"address_2": "#101",
"city": "AVENTURA",
"state": "FL",
"postal_code": "331801471",
"telephone_number": "305-528-1795",
"fax_number": "305-528-1795"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2797 NE 207TH ST",
"address_2": "#101",
"city": "AVENTURA",
"state": "FL",
"postal_code": "331801471",
"telephone_number": "305-528-1795",
"fax_number": "305-528-1795"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAINCHILL",
"first_name": "JODI",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-28",
"last_updated": "2012-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT17658",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Aventura, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.