Active NPI
Ryan Leo Hemelt, DPT MOTR L
- Orthopedic Physical Therapist
- St Augustine, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- PT21456
- Practice address
- 1 Orthopaedic PL
St Augustine, FL 32086-4202 - Phone
- (904) 825-0540
- Fax
- (904) 209-1057
- NPI assigned
- Jun 15, 2006
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | PT21456 | FL | Primary |
| Hand Occupational Therapist | 225XH1200X | OT11336 | FL | |
| Occupational Therapist | 225X00000X | OT11336 | FL |
Addresses
Primary practice location
1 Orthopaedic PL
St Augustine, FL 32086-4202
Mailing address
965 Saltwater Cir
St Augustine, FL 32080-6305
Phone (904) 460-0079
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 002844900 | Medicaid | FL | |
| P00667168 | Other | MEDICARE RAILROAD | |
| 1174540001 | Other | FL | CIGNA GOVT SVCS DMERC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 2
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 90.75 of 100
- Quality
- 88.19
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 80.96
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT11336 | FL | MD | Hand Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Strive Healthcare LLC | Current | Accepting new patients | |
| Southeast Orthopedic Specialists, LLC | Current | Accepting new patients | |
| Southeast Orthopedic Specialists, LLC | Current | Accepting new patients |
Locations
6800 Southpoint Pkwy
Ste 300
Jacksonville, FL 32216
10475 Centurion Pkwy N
Ste 220
Jacksonville, FL 32256
Phone 9046340640 ext. 1014
165 Silver Ln
Ofc
Saint Augustine, FL 32084
Phone (904) 930-4351
165 Silver Ln
St Augustine, FL 32084
Phone (904) 613-7431
1093 A1A Beach Blvd
St Augustine Beach, FL 32080
Phone (904) 234-5322
Organizations & group practices 3
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.
-
- Orthopaedic Surgery Physician
- Jacksonville, FL
- NPI 1629025820
-
- Physical Therapist
- St Augustine, FL
- NPI 1538611785
-
- Durable Medical Equipment & Medical Supplies
- St Johns, FL
- NPI 1538952379
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1381968000000",
"number": "1891739702",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "965 SALTWATER CIR",
"city": "ST AUGUSTINE",
"state": "FL",
"postal_code": "320806305",
"telephone_number": "904-460-0079"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 ORTHOPAEDIC PL",
"city": "ST AUGUSTINE",
"state": "FL",
"postal_code": "320864202",
"telephone_number": "904-825-0540",
"fax_number": "904-209-1057"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEMELT",
"first_name": "RYAN",
"middle_name": "LEO",
"credential": "DPT MOTR L",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-15",
"last_updated": "2013-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "FL",
"license": "PT21456",
"primary": true
},
{
"code": "225XH1200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Hand",
"state": "FL",
"license": "OT11336",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "OT11336",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "002844900",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "P00667168",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA GOVT SVCS DMERC",
"identifier": "1174540001",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in St Augustine, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2013; 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.