Jamie Ann Boersma, D.P.T.

Individual provider Active NPI Physical Therapist · Chiefland, FL

NPI 1992953640 · NPPES record last updated Nov 4, 2008

Key facts

NPI
1992953640
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
PT24254 (FL)
Practice address
1315 NW 21St Ave
Chiefland, FL 32626-1977
Phone
(352) 493-2999
Fax
(352) 493-0026
NPI assigned
Sep 7, 2008
Sex
Female
Sole proprietor
No

Organizations & group practices 2

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
PT24254FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Nature Coast Rehabilitation Inc Past Accepting new patients
New Day Wellness LLC Past
since Aug 5, 2020
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT24254 FL Yes

Addresses

Primary practice location

1315 NW 21St Ave
Chiefland, FL 32626-1977

Mailing address

494 NE 83 Ave
Old Town, FL 32680-6008
Phone (503) 984-1891

Other providers in Chiefland, FL

All providers in Chiefland, FL · Physical Therapist in Florida

Sources for this page

Verify at the official NPI Registry.