JRC Fleming Island

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

JRC FLEMING ISLAND

Practice address

4711 US Highway 17 Ste B1
Fleming Island, FL 32003-8251

Phone

(904) 833-5633

NPI assigned

Jan 12, 2023

Organization subpart

No

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

Authorized official

Name

Robert L Kenny Jr.

Title

Authorized Official

Phone

(904) 834-0471

Specialties & licenses 1

Addresses

Other names 1

• Joint Regeneration Clinic of Fleming Island Doing business as

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

{
    "created_epoch": "1673481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673481600000",
    "number": "1811601909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4711 US HIGHWAY 17 STE B1",
            "city": "FLEMING ISLAND",
            "state": "FL",
            "postal_code": "320038251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4711 US HIGHWAY 17 STE B1",
            "city": "FLEMING ISLAND",
            "state": "FL",
            "postal_code": "320038251",
            "telephone_number": "904-833-5633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JRC FLEMING ISLAND",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-12",
        "last_updated": "2023-01-12",
        "certification_date": "2023-01-12",
        "status": "A",
        "authorized_official_last_name": "KENNY",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "904-834-0471",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Joint Regeneration Clinic of Fleming Island",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dakota Jones
• Jeffrey Jones, LPTA
• Alexander Jordan
• Michelle Jordan, LDO
• Lorraine Jo Jourden, LMHC
• K & J Auto LLC
• Kadora Therapy Associates, LLC
• Lael Paschal Kaltz
• Shelby R Keller
• Paola Jetzabella Kennah, PA-C

• Physical Medicine & Rehabilitation Physician in Fleming Island, FL
• Providers in Fleming Island, FL by specialty
• Physical Medicine & Rehabilitation Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2023; 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.