Jeffrey Michael Pope

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

0803020544 Issued in CA

Practice address

850 21St Ave N
Saint Petersburg, FL 33704-3253

Phone

(727) 512-5679

NPI assigned

Apr 29, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• WG PT, LLC

  • Home Health Agency
  • Saint Petersburg, FL
  • NPI 1316576887
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1588118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588118400000",
    "number": "1730700998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 21ST AVE N",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337043253",
            "telephone_number": "727-512-5679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 21ST AVE N",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337043253",
            "telephone_number": "727-512-5679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POPE",
        "first_name": "JEFFREY",
        "middle_name": "MICHAEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-04-29",
        "last_updated": "2020-04-29",
        "certification_date": "2020-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "CA",
            "license": "0803020544",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CASH AND CREDIT CARD",
            "identifier": "123556789",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Info@jumpfitness.us",
            "affiliation": "N",
            "endpointDescription": "Email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "850 21st Ave N",
            "city": "Saint Petersburg",
            "state": "FL",
            "country_code": "US",
            "postal_code": "337043253",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Polymath Psychiatric Physicians, PLLC
• Jaimie Lee Pomares, RN, CCRN
• Bari Pomper, MS
• Jennifer Poole
• Heather Justina Pooler, DOM, AP, LAC
• Matthew Keith Popejoy, CRNA
• Luis Guillermo Porte, APRN
• Porter Psychiatry LLC
• Danielle D Porter, APRN, PMHNP
• Nathaniel Joel Porter

• Athletic Trainer in Saint Petersburg, FL
• Providers in Saint Petersburg, FL by specialty
• Athletic Trainer in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2020; 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.