Individual provider Active NPI

Jennifer Paul, DPT

  • Physical Therapist
  • Winter Springs, FL
National Provider Identifier
1700315736
Registry record updated Oct 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT32539 Issued in FL
Practice address
1135 E State Road 434 Ste 2001B
Winter Springs, FL 32708-2744
Phone
(407) 542-1224
Fax
(407) 542-1155
NPI assigned
Jun 4, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X PTT32539 FL
Physical Therapist 225100000X PT32539 FL Primary

Addresses

Primary practice location

1135 E State Road 434 Ste 2001B
Winter Springs, FL 32708-2744

Mailing address

1245 Northern Way
Winter Springs, FL 32708-4352

Other practice location 1

1405 S Orange Ave Ste 101
Orlando, FL 32806-2147
Phone (407) 522-4525

Other names 1

  • Jennifer Squires Former name

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PTT32539FLMDPhysical Medicine & Rehabilitation Physician
PT32539FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ability Health Services and Rehabilitation LP Past Accepting new patients

Networks

  • Freedom Health HMO Network

Organizations & group practices 1

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": "1496534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666656000000",
    "number": "1700315736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1245 NORTHERN WAY",
            "city": "WINTER SPRINGS",
            "state": "FL",
            "postal_code": "327084352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1135 E STATE ROAD 434 STE 2001B",
            "city": "WINTER SPRINGS",
            "state": "FL",
            "postal_code": "327082744",
            "telephone_number": "407-542-1224",
            "fax_number": "407-542-1155"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1405 S Orange Ave Ste 101",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328062147",
            "country_code": "US",
            "telephone_number": "407-522-4525",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAUL",
        "first_name": "JENNIFER",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-04",
        "last_updated": "2022-10-25",
        "certification_date": "2022-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "FL",
            "license": "PTT32539",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT32539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "SQUIRES",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Winter Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2022; 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.