Andrea Jernigan, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT32054 Issued in FL

Practice address

945 SW Main Blvd
Lake City, FL 32025-5746

Phone

(386) 755-3164

Fax

(386) 755-3165

NPI assigned

Jul 1, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Andrea Liddell Former name

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pro Motion Therapy of Lake City LLCGroup PAC ID 7113000514, 5 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Pro Motion Therapy of Lake City LLC

  • Physical Therapy Clinic/Center
  • Gainesville, FL
  • NPI 1538358585

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Internal Medicine & Pediatric Associates

  • Internal Medicine Physician
  • Ridgeland, MS
  • NPI 1558460642
  NPD

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

{
    "created_epoch": "1435708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751414400000",
    "number": "1831572411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9070 W CHEYENNE AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891298934",
            "telephone_number": "702-268-7213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "945 SW MAIN BLVD",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320255746",
            "telephone_number": "386-755-3164",
            "fax_number": "386-755-3165"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4423 NW 6th Pl Ste C",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "FL",
            "postal_code": "326076116",
            "country_code": "US",
            "telephone_number": "386-755-3164",
            "fax_number": "352-877-4580",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JERNIGAN",
        "first_name": "ANDREA",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-01",
        "last_updated": "2025-07-02",
        "certification_date": "2025-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT32054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDREA",
            "last_name": "LIDDELL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Marie Jean-Louis
• Jessica Jenkins
• Benjamin Bradley Jennings
• Tybresha Jennings
• Alvin Dwayne Jernigan Sr.
• Brittnee Jernigan
• Shalea Jernigan
• Joann Jerry, ARNP
• Lianyi Jiang
• Sandra M Jimenez

• Physical Therapist in Lake City, FL
• Providers in Lake City, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 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.