Individual provider Active NPI

Jessica Pearce Grochowsky, DPT

  • Physical Therapist
  • Jacksonville Beach, FL
National Provider Identifier
1972809143
Registry record updated Apr 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
25888 Issued in FL
Practice address
1835 3Rd St N
Jacksonville Beach, FL 32250-7469
Phone
(904) 734-0200
Fax
(888) 595-3297
NPI assigned
Feb 4, 2011
Sex
Female
Sole proprietor
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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 15963 NC
Physical Therapist 225100000X P15963 NC
Physical Therapist 225100000X 25888 FL Primary

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 2

IdentifierTypeStateIssuer
Y07NMOtherFLBC/BS
FH217XOtherFLPTAN

Other names 1

  • Jessica Pearce Whitely Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110824000561 FL Practitioner - Physical Therapist in Private Practice 7810167145 Reassigns benefits to 2 organizations
Practice locations: Jacksonville Beach, FL

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

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

472 Osceola Ave
Jacksonville Beach, FL 32250-4082

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P15963NCMDPhysical Therapist
15963NCMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Core Essentials Physical Therapy & Wellness, LLC Physical Therapist CurrentSince Jun 18, 2022 Accepting new patients
Premier Physical Therapy and Rehabilitation of Jacksonville, Inc PastSince Nov 20, 2018 Accepting new patients
Premier Physical Therapy and Rehabilitation of Jacksonville, Inc Physical Therapist PastSince Mar 3, 2024 Accepting new patients

Locations

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

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

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": "1296777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776297600000",
    "number": "1972809143",
    "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": {
        "last_name": "GROCHOWSKY",
        "first_name": "JESSICA",
        "middle_name": "PEARCE",
        "name_prefix": "Mrs.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-04",
        "last_updated": "2026-04-16",
        "certification_date": "2026-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NC",
            "license": "15963",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P15963",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "25888",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "Y07NM",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "FH217X",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "WHITELY",
            "middle_name": "PEARCE",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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.
  • 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.