Active NPI
Neha Jani, PHYSICAL THERAPIST
- Physical Therapist
- St Augustine, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT27405
- Practice address
- 105 Southpark Blvd Ste B201
Saint Augustine, FL 32086-5159 - Phone
- (904) 824-1636
- Fax
- (904) 824-7488
- NPI assigned
- Aug 25, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT27405 | FL | Primary |
Addresses
Primary practice location
105 Southpark Blvd Ste B201
Saint Augustine, FL 32086-5159
Mailing address
105 Southpark Blvd Ste B201
Saint Augustine, FL 32086-5159
Phone (904) 824-1636
Other practice location 1
904 Park Ave Ste 2
Orange Park, FL 32073-4120
Phone (904) 420-3915
Other practice location 2
8081 Philips Hwy Ste 5
Jacksonville, FL 32256-7443
Phone (904) 872-3100
Other practice location 3
261 Madison Ave
New York, NY 10016-2303
Phone (212) 743-0300
Other practice location 4
644 Cesery Blvd Ste 200
Jacksonville, FL 32211-7165
Phone (904) 903-2755
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT27405 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rebound Rehabilitative Services Inc | Physical Therapist | Past | Accepting new patients |
| Rebound Rehabilitative Services Inc | Physical Therapist | Past | Accepting new patients |
| Rebound Rehabilitative Services Inc | Past | Accepting new patients | |
| Rebound Rehabilitative Services Inc | Past | Accepting new patients | |
| Rebound Rehabilitative Services Inc | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Orthopedic Physical Therapist
- Orange Park, FL
- NPI 1104328269
-
- Physical Therapy Clinic/Center
- Jacksonville, FL
- NPI 1417570326
-
- Physical Therapy Clinic/Center
- St Augustine, FL
- NPI 1477510907
Physical Therapist
-
- Physical Therapy Clinic/Center
- Jacksonville, FL
- NPI 1528501715
Physical Therapist
-
- Physical Therapist
- Jacksonville Beach, FL
- NPI 1578202404
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1282694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565308800000",
"number": "1922314152",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 SOUTHPARK BLVD STE B201",
"city": "SAINT AUGUSTINE",
"state": "FL",
"postal_code": "320865159",
"telephone_number": "904-824-1636",
"fax_number": "904-824-7488"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 SOUTHPARK BLVD STE B201",
"city": "SAINT AUGUSTINE",
"state": "FL",
"postal_code": "320865159",
"telephone_number": "904-824-1636",
"fax_number": "904-824-7488"
}
],
"practiceLocations": [
{
"address_1": "904 Park Ave Ste 2",
"address_purpose": "LOCATION",
"city": "Orange Park",
"state": "FL",
"postal_code": "320734120",
"country_code": "US",
"telephone_number": "904-420-3915",
"fax_number": "904-420-3916",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8081 Philips Hwy Ste 5",
"address_purpose": "LOCATION",
"city": "Jacksonville",
"state": "FL",
"postal_code": "322567443",
"country_code": "US",
"telephone_number": "904-872-3100",
"fax_number": "904-872-3106",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "261 Madison Ave",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100162303",
"country_code": "US",
"telephone_number": "212-743-0300",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "644 Cesery Blvd Ste 200",
"address_purpose": "LOCATION",
"city": "Jacksonville",
"state": "FL",
"postal_code": "322117165",
"country_code": "US",
"telephone_number": "904-903-2755",
"fax_number": "904-903-2756",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JANI",
"first_name": "NEHA",
"name_prefix": "Miss",
"credential": "PHYSICAL THERAPIST",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-08-25",
"last_updated": "2019-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT27405",
"primary": true
}
],
"identifiers": [],
"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 Aug 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.