Active NPI
Kathryn Trumble, DPT
- Physical Therapist
- Jacksonville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT 26129
- Practice address
- 1522 Oak St
Jacksonville, FL 32204-3911 - Phone
- (904) 353-2019
- Fax
- (904) 353-7762
- NPI assigned
- Jan 20, 2011
- Last updated
- Jan 20, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 | PT 26129 | FL | Primary |
Addresses
Primary practice location
1522 Oak St
Jacksonville, FL 32204-3911
Mailing address
1522 Oak St
Jacksonville, FL 32204-3911
Phone (904) 353-2019
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1301 Monument Rd
Suite 14And15
Jacksonville, FL 32225-7407
Phone (904) 733-9948
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.01 of 100
- Improvement activities
- 40
- Cost
- 74.03
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT 26129 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jacksonville Orthopaedic Institute Inc | Physical Therapist | Current | Accepting new patients |
| Jacksonville Orthopaedic Institute Inc | Physical Therapist | Past | Accepting new patients |
Locations
1301 Monument Rd
Ste 14
Jacksonville, FL 32225
1301 Monument Rd
Ste 1415
Jacksonville, FL 32225
Phone (904) 733-9948
1325 San Marco Blvd
Ste 200
Jacksonville, FL 32207
Phone (904) 346-3465
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Orthopaedic Surgery Physician
- Jacksonville, FL
- NPI 1346298023
Physical Therapist
-
- Physical Therapist
- Jacksonville, FL
- NPI 1891844130
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1295481600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1295481600000",
"number": "1700181898",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1522 OAK ST",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322043911",
"telephone_number": "904-353-2019",
"fax_number": "904-353-7762"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1522 OAK ST",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322043911",
"telephone_number": "904-353-2019",
"fax_number": "904-353-7762"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRUMBLE",
"first_name": "KATHRYN",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-01-20",
"last_updated": "2011-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT 26129",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2011; 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.