Individual provider Active NPI

Jodi Jainchill, PT

  • Physical Therapist
  • Aventura, FL
National Provider Identifier
1659354306
Registry record updated Oct 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT17658 Issued in FL
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

Updated by the provider on Oct 3, 2012

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 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

LicenseStateTypeSpecialty
PT17658FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.