Individual provider Active NPI

Janae V Cisero, PT

  • Physical Therapist
  • Jacksonville, FL
National Provider Identifier
1780149815
Registry record updated Oct 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT24268 Issued in FL
Practice address
3846 Anderson Woods Dr
Jacksonville, FL 32218-9226
Phone
(904) 710-2729
NPI assigned
Feb 3, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT24268 FL Primary

Addresses

Primary practice location

3846 Anderson Woods Dr
Jacksonville, FL 32218-9226

Mailing address

3846 Anderson Woods Dr
Jacksonville, FL 32218-9226
Phone (904) 710-2729

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
PT24268FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Her Essence Physical Therapy & Wellness LLC CurrentSince Sep 1, 2019 Accepting new patients

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": "1549152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602892800000",
    "number": "1780149815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3846 ANDERSON WOODS DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322189226",
            "telephone_number": "904-710-2729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3846 ANDERSON WOODS DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322189226",
            "telephone_number": "904-710-2729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CISERO",
        "first_name": "JANAE",
        "middle_name": "V",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-03",
        "last_updated": "2020-10-17",
        "certification_date": "2020-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT24268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Oct 17, 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.