Individual provider Active NPI

Jacqueline Jerrems Cook, DPT

  • Orthopedic Physical Therapist
  • Gulf Breeze, FL
National Provider Identifier
1902327638
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
PT30480 Issued in FL
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

Updated by the provider on Jun 16, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181220002235 FL Practitioner - Physical Therapist in Private Practice 2062757933 Reassigns benefits to 1 organization

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
North Florida Surgeons PAGroup PAC ID 2769381391, 336 clinicians

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 100Reported as group
Quality
64.42
Promoting interoperability
100
Improvement activities
40
Cost
74.88

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
North Florida Surgeons, PA CurrentSince Aug 1, 2022 Accepting new patients
Iperformance Center Orthopedic CurrentSince Nov 29, 2018 Accepting new patients
North Florida Surgeons, PA CurrentSince Aug 1, 2022 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.

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.

Verify at the official NPI Registry.