Organization Active NPI

Core Essentials Physical Therapy & Wellness, LLC

  • Physical Therapist
  • Jacksonville Beach, FL
National Provider Identifier
1902544851
Registry record updated Apr 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
CORE ESSENTIALS PHYSICAL THERAPY & WELLNESS, LLC
Practice address
1835 3Rd St N
Jacksonville Beach, FL 32250-7469
Phone
(904) 734-0200
Fax
(888) 595-3297
NPI assigned
May 21, 2022
Last updated
Apr 16, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2026

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

Authorized official

Name
Jessica Grochowsky, PT, DPT, MTC, CLTNPI 1972809143
Title
Ceo
Phone
(386) 801-1683

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary
Physical Therapy Assistant 225200000X NU

Addresses

Primary practice location

1835 3Rd St N
Jacksonville Beach, FL 32250-7469

Mailing address

1835 3Rd St N
Jacksonville Beach, FL 32250-7469
Phone (904) 734-0200

Other identifiers 1

IdentifierTypeStateIssuer
1972809143OtherFLPT NPI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220804001503 FL Part B Supplier - Physical/Occupational Therapy Group in Private Practice 9234511411 Receives reassigned benefits from 3 practitioners
Practice locations: Jacksonville Beach, FL

National Provider Directory

National Provider Directory

Locations

1835 3rd St N
Jacksonville Beach, FL 32250
Phone (904) 734-0200

472 Osceola Ave
Jax Bch, FL 32250
Phone (904) 734-0200

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1653091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776297600000",
    "number": "1902544851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1835 3RD ST N",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322507469",
            "telephone_number": "904-734-0200",
            "fax_number": "888-595-3297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1835 3RD ST N",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322507469",
            "telephone_number": "904-734-0200",
            "fax_number": "888-595-3297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORE ESSENTIALS PHYSICAL THERAPY & WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-21",
        "last_updated": "2026-04-16",
        "certification_date": "2026-04-16",
        "status": "A",
        "authorized_official_last_name": "GROCHOWSKY",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "386-801-1683",
        "authorized_official_credential": "PT, DPT, MTC, CLT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT NPI",
            "identifier": "1972809143",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.