Individual provider Active NPI

Sophie Bargeron, DPT

  • Physical Therapist
  • Ponte Vedra Beach, FL
National Provider Identifier
1871269696
Registry record updated Aug 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
236 Ponte Vedra Park Dr Ste 300
Ponte Vedra Beach, FL 32082-6619
Phone
(904) 280-3440
NPI assigned
Aug 20, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2021

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 Primary

Addresses

Primary practice location

236 Ponte Vedra Park Dr Ste 300
Ponte Vedra Beach, FL 32082-6619

Mailing address

705 Holly Dr
Jacksonville Beach, FL 32250-3578

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Atlas Physical Therapy & Sports Medicine Inc Physical Therapist CurrentSince Jan 17, 2022 Accepting new patients
Atlas Physical Therapy & Sports Medicine Inc Physical Therapist CurrentSince Jan 17, 2022 Accepting new patients
PT Solutions of Pensacola LLC Physical Therapist CurrentSince Sep 13, 2021 Accepting new patients
PT Solutions of Pensacola, LLC Physical Therapist CurrentSince Sep 13, 2021 Accepting new patients

Locations

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

5401 Corporate Woods Dr
Ste 300
Pensacola, FL 32504
Phone (850) 912-6840

236 Ponte Vedra Park Dr
Ste 300
Ponte Vedra Beach, FL 32082
Phone (904) 280-3440

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

1100 Circle 75 Pkwy SE
Ste 1400
Atlanta, GA 30339
Phone (678) 403-3555

Organizations & group practices 4

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": "1629417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629417600000",
    "number": "1871269696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 HOLLY DR",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322503578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "236 PONTE VEDRA PARK DR STE 300",
            "city": "PONTE VEDRA BEACH",
            "state": "FL",
            "postal_code": "320826619",
            "telephone_number": "904-280-3440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARGERON",
        "first_name": "SOPHIE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-20",
        "last_updated": "2021-08-20",
        "certification_date": "2021-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponte Vedra Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2021; 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.