Active NPI
Jennifer L De Haan, PT
- Physical Therapist
- Ocala, FL
National Provider Identifier
1730490871
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT16524
- Practice address
- 1501 SE 24TH Rd
Ocala, FL 34471-6005 - Phone
- (352) 629-8900
- NPI assigned
- Jun 23, 2010
- Last updated
- Nov 29, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT16524 | FL | Primary |
Addresses
Primary practice location
1501 SE 24TH Rd
Ocala, FL 34471-6005
Mailing address
1725 SE 5TH St
Ocala, FL 34471-2509
Phone (352) 622-1529
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, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1661 SE 31St St Unit
3 Marion Woods
Ocala, FL 34471-0741
Phone (850) 380-4657
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT16524 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Next PT Group Florida, LLC | Physical Therapist | Current | Accepting new patients |
Locations
1661 SE 31st St
Unit 3
Ocala, FL 34471
Phone (850) 380-4657
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- Ocala, FL
- NPI 1730666355
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277251200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1354147200000",
"number": "1730490871",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1725 SE 5TH ST",
"city": "OCALA",
"state": "FL",
"postal_code": "344712509",
"telephone_number": "352-622-1529"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1501 SE 24TH RD",
"city": "OCALA",
"state": "FL",
"postal_code": "344716005",
"telephone_number": "352-629-8900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DE HAAN",
"first_name": "JENNIFER",
"middle_name": "L",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-06-23",
"last_updated": "2012-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT16524",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ocala, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2012; 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.