Active NPI
Joseph Raymond Jumarang
- Physical Therapist
- Jacksonville, FL
National Provider Identifier
1891340550
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 905 Assisi LN
Jacksonville, FL 32233-2972 - Phone
- (904) 667-3660
- NPI assigned
- Aug 8, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
905 Assisi LN
Jacksonville, FL 32233-2972
Mailing address
3731 Hartsfield Forest Cir
Jacksonville, FL 32277-3854
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PT34456 | Other | FL | FLORIDA PHYSICAL THERAPY LICENSE |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1565222400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565222400000",
"number": "1891340550",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3731 HARTSFIELD FOREST CIR",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322773854"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "905 ASSISI LN",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322332972",
"telephone_number": "904-667-3660"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JUMARANG",
"first_name": "JOSEPH RAYMOND",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-08-08",
"last_updated": "2019-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FLORIDA PHYSICAL THERAPY LICENSE",
"identifier": "PT34456",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.