Active NPI
Jessica Marie Magee, PT, DPT, ATC, LAT
- Physical Therapist
- Jacksonville, FL
National Provider Identifier
1710378815
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT33785
- Practice address
- 10423 Centurion Pkwy N
Jacksonville, FL 32256 - Phone
- (904) 854-2090
- NPI assigned
- Feb 10, 2015
- 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 Therapist | 225100000X | PT33785 | FL | Primary |
| Athletic Trainer | 2255A2300X | AL3821 | FL |
Addresses
Primary practice location
10423 Centurion Pkwy N
Jacksonville, FL 32256
Mailing address
3901 University Blvd S
Jacksonville, FL 32216-4312
Phone (904) 345-7336
Other names 1
- Miss Jessica Marie Corey
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 |
|---|---|---|---|
| AL3821 | FL | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1423526400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534118400000",
"number": "1710378815",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3901 UNIVERSITY BLVD S",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322164312",
"telephone_number": "904-345-7336"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10423 CENTURION PKWY N",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "32256",
"telephone_number": "904-854-2090"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAGEE",
"first_name": "JESSICA",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "PT, DPT, ATC, LAT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-02-10",
"last_updated": "2018-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT33785",
"primary": true
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "FL",
"license": "AL3821",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JESSICA",
"last_name": "COREY",
"middle_name": "MARIE",
"prefix": "MISS",
"credential": "PT, DPT, ATC, LAT",
"code": "1",
"type": "Former Name"
}
]
}
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 Aug 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.