Active NPI
Jennifer Paul, DPT
- Physical Therapist
- Winter Springs, FL
National Provider Identifier
1700315736
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT32539
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| PTT32539 | FL | MD | Physical Medicine & Rehabilitation Physician |
| PT32539 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Rehabilitation Clinic/Center
- Largo, FL
- NPI 1376089649
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.