Individual provider Active NPI

Jill Fernandez, PT

  • Physical Therapist
  • Oxford, NC
National Provider Identifier
1871814244
Registry record updated Jun 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
9579 Issued in NC
Practice address
500 Prospect Ave
Oxford, NC 27565-2543
Phone
(919) 693-1531
NPI assigned
Jun 19, 2010
Last updated
Jun 19, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 19, 2010

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 9579 NC Primary

Addresses

Primary practice location

500 Prospect Ave
Oxford, NC 27565-2543

Mailing address

5 Gwendolyn Cir
Durham, NC 27703-2904

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220621002928 GA Practitioner - Physical Therapist in Private Practice 0143609180 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Georgia Luna Care Physical Therapy LLCGroup PAC ID 4082027727, 167 clinicians

Practice addresses (Care Compare)

260 Peachtree St NW
Suite 2200
Atlanta, GA 30303-1292
Phone (866) 525-3175

Merit-based Incentive Payment System (MIPS)

Final score
82.85 of 100Reported as group
Quality
85.59
Improvement activities
40
Cost
69.27

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9579NCMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Georgia Luna Care Physical Therapy LLC Physical Therapist CurrentSince Sep 13, 2023 Accepting new patients
Emory Physical Therapy, LLC CurrentSince Sep 21, 2023 Accepting new patients
Emory Physical Therapy, LLC CurrentSince Sep 21, 2023 Accepting new patients
Emory Physical Therapy, LLC Current Accepting new patients
Empowerme Rehabilitation Georgia, LLC Physical Therapist CurrentSince Jun 7, 2022 Accepting new patients
Onr National Speech Pathology Inc Physical Therapist CurrentSince Jan 1, 2023 Accepting new patients

Locations

762 N Main St
Alpharetta, GA 30009
Phone (678) 268-6335

21 Ortho Ln
Atlanta, GA 30329
Phone (404) 778-2516

260 Peachtree St NW
Ste 2200
Atlanta, GA 30303
Phone (669) 231-6870

5610 Hampton Park Dr
Cumming, GA 30041
Phone (470) 866-5540

1845 Satellite Blvd
Ste 750
Duluth, GA 30097
Phone (404) 778-6490

1335 Strassner Dr
Saint Louis, MO 63144
Phone (314) 673-6723

8500 Bluffstone Cv
Ste A201
Austin, TX 78759
Phone (512) 220-5252

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1276905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276905600000",
    "number": "1871814244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 GWENDOLYN CIR",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277032904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 PROSPECT AVE",
            "city": "OXFORD",
            "state": "NC",
            "postal_code": "275652543",
            "telephone_number": "919-693-1531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "JILL",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-19",
        "last_updated": "2010-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "9579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxford, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2010; 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.