Jenna Mae Stasi, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

34743 Issued in FL

Practice address

9724 Commerce Center CT
Fort Myers, FL 33908-3608

Phone

(239) 223-0484

Fax

(239) 790-0969

NPI assigned

Aug 14, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in FL, NY2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Physical Therapy Services of Flatiron PCGroup PAC ID 1759784085, 112 clinicians

Optimal Performance and Physical Therapies Hyde Park LLCGroup PAC ID 9931224367, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Optimal Performance and Physical Therapies Hyde Park LLC

  • Physical Therapist
  • Tampa, FL
  • NPI 1528381621
  Medicare reassignment Care Compare group NPD
• Physical Therapy Services of Flatiron PC

  • Physical Therapy Clinic/Center
  • New York, NY
  • NPI 1134705676

  FL, Physical Therapist

  Medicare reassignment Care Compare group NPD
• Back in Motion Sport & Spine Physical Therapy LLC

  • Physical Therapist
  • Fort Myers, FL
  • NPI 1831616416
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1565740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605139200000",
    "number": "1902452147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21756 STATE ROAD 54",
            "address_2": "STE 102",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335492905",
            "telephone_number": "239-223-0484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9724 COMMERCE CENTER CT",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339083608",
            "telephone_number": "239-223-0484",
            "fax_number": "239-790-0969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STASI",
        "first_name": "JENNA",
        "middle_name": "MAE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-14",
        "last_updated": "2020-11-12",
        "certification_date": "2020-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "34743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "WebPT",
            "affiliation": "N",
            "endpointDescription": "EMR",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "9724 Commerce Center Ct",
            "city": "Fort Myers",
            "state": "FL",
            "country_code": "US",
            "postal_code": "339083608",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kent Thomson Starkweather, M.D.
• William Edward Starner, D.D.S.
• Valerie Starnes, APRN-C
• Starpluscare, Inc
• Start Professional Care & Support LLC
• Rachel Beth State Adelman, M.D., M.P.H.
• Diana Rae Steeber
• Jonathan M Steele
• Samantha Crystal Steele
• Ronda Kay Steen, LPN

• Physical Therapist in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2020; 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.