Active NPI
Jacqueline Jerrems Cook, DPT
- Orthopedic Physical Therapist
- Gulf Breeze, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- PT30480
- Practice address
- 1040 Gulf Breeze Pkwy Ste 101
Gulf Breeze, FL 32561-7808 - Phone
- (850) 934-2180
- NPI assigned
- Jul 3, 2017
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | PT30480 | FL | Primary |
Addresses
Primary practice location
1040 Gulf Breeze Pkwy Ste 101
Gulf Breeze, FL 32561-7808
Mailing address
800 Fort Pickens Rd Apt 603
Gulf Breeze, FL 32561-2066
Phone (850) 485-3320
Other names 1
- Jacqueline Suzanne Jerrems
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- George Washington University School of Medicine, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4406 N Davis Hwy
Pensacola, FL 32503-2756
Phone (850) 435-4800
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.79 of 100
- Quality
- 64.42
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.88
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Florida Surgeons, PA | Current | Accepting new patients | |
| Iperformance Center | Orthopedic | Current | Accepting new patients |
| North Florida Surgeons, PA | Current | Accepting new patients | |
| Andrews Institute Rehabilitation, LLC | Past | Accepting new patients |
Locations
200 Calusa Blvd
Unit 300
Destin, FL 32541
Phone (850) 460-2024
73 Eglin Pkwy NE
Fort Walton Beach, FL 32548
5660 Gulf Breeze Pkwy
Ste 1A
Gulf Breeze, FL 32563
Phone (850) 607-3546
11945 San Jose Blvd
Ste 300
Jacksonville, FL 32223
11945 San Jose Blvd
Ste 102
Jacksonville, FL 32223
Phone (904) 268-3937
5750 Berryhill Rd
Milton, FL 32570
Phone (850) 433-6918
4406 N Davis Hwy
Pensacola, FL 32503
Phone (850) 434-1570
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.
-
- Surgery Physician
- Jacksonville, FL
- NPI 1912953290
-
- Orthopaedic Surgery Physician
- Gulf Breeze, FL
- NPI 1871442053
-
- Physical Therapy Clinic/Center
- Foley, AL
- NPI 1740515402
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529107200000",
"number": "1902327638",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 FORT PICKENS RD APT 603",
"city": "GULF BREEZE",
"state": "FL",
"postal_code": "325612066",
"telephone_number": "850-485-3320"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1040 GULF BREEZE PKWY STE 101",
"city": "GULF BREEZE",
"state": "FL",
"postal_code": "325617808",
"telephone_number": "850-934-2180"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOK",
"first_name": "JACQUELINE",
"middle_name": "JERREMS",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-07-03",
"last_updated": "2018-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "FL",
"license": "PT30480",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JACQUELINE",
"last_name": "JERREMS",
"middle_name": "SUZANNE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Gulf Breeze, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.