Individual provider Active NPI

Ryan Leo Hemelt, DPT MOTR L

  • Orthopedic Physical Therapist
  • St Augustine, FL
National Provider Identifier
1891739702
Registry record updated Oct 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
PT21456 Issued in FL
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

Updated by the provider on Oct 17, 2013

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
002844900MedicaidFL
P00667168OtherMEDICARE RAILROAD
1174540001OtherFLCIGNA GOVT SVCS DMERC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20060814000082 FL Practitioner - Occupational Therapist in Private Practice 5698788198 Reassigns benefits to 2 organizations
I20090720000534 FL Practitioner - Physical Therapist in Private Practice 5698788198 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
90.75 of 100Reported as group
Quality
88.19
Promoting interoperability
100
Improvement activities
40
Cost
80.96

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OT11336FLMDHand Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Strive Healthcare LLC CurrentSince Jun 13, 2016 Accepting new patients
Southeast Orthopedic Specialists, LLC CurrentSince Jan 24, 2022 Accepting new patients
Southeast Orthopedic Specialists, LLC CurrentSince Jan 24, 2022 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.

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.

Verify at the official NPI Registry.