Individual provider Active NPI

Neha Jani, PHYSICAL THERAPIST

  • Physical Therapist
  • St Augustine, FL
National Provider Identifier
1922314152
Registry record updated Aug 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT27405 Issued in FL
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

Updated by the provider on Aug 9, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
PT27405FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rebound Rehabilitative Services Inc Physical Therapist PastSince Sep 15, 2024 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 PastSince May 31, 2020 Accepting new patients
Rebound Rehabilitative Services Inc Physical Therapist PastSince Sep 15, 2024 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.

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.

Verify at the official NPI Registry.