Individual provider Active NPI

Jade Austad, PT, DPT

  • Physical Therapist
  • Saint Augustine, FL
National Provider Identifier
1821975467
Registry record updated Dec 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT43245 Issued in FL
Practice address
425 W Town PL Ste 102
Saint Augustine, FL 32092-3662
Phone
(904) 292-0195
NPI assigned
Aug 18, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2025

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 PT43245 FL Primary

Addresses

Primary practice location

425 W Town PL Ste 102
Saint Augustine, FL 32092-3662

Mailing address

425 W Town PL Ste 102
Saint Augustine, FL 32092-3662

Other names 1

  • Jade Conklin Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260411000040 FL Practitioner - Physical Therapist in Private Practice 7911472519 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Atlas Physical Therapy and Sports Medicine IncGroup PAC ID 8426017807, 11 clinicians

Practice addresses (Care Compare)

12421 San Jose Blvd
Suite 100
Jacksonville, FL 32223-8662
Phone (904) 292-0195

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT43245FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Atlas Physical Therapy & Sports Medicine Inc Physical Therapist CurrentSince Feb 14, 2026 Accepting new patients
Atlas Physical Therapy & Sports Medicine Inc Physical Therapist CurrentSince Aug 25, 2025 Accepting new patients

Locations

12421 San Jose Blvd
Ste 100
Jacksonville, FL 32223
Phone (904) 292-0195

425 W Town Pl
Ste 102
St Augustine, FL 32092
Phone (904) 292-0195

Organizations & group practices 2

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": "1755475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765497600000",
    "number": "1821975467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 W TOWN PL STE 102",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320923662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 W TOWN PL STE 102",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320923662",
            "telephone_number": "904-292-0195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AUSTAD",
        "first_name": "JADE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-18",
        "last_updated": "2025-12-12",
        "certification_date": "2025-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT43245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JADE",
            "last_name": "CONKLIN",
            "credential": "PT, DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Saint Augustine, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2025; 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.

Verify at the official NPI Registry.