Jacksonville Orthopaedic Institute Inc
NPI 1902954332ActiveOrganization· Physical Therapist· Jacksonville Beach, FL
Physical Therapist in Jacksonville Beach, Florida, registered in NPPES in January 2007. The authorized official on file is Timothy Edwin Wall, MS, ATC, Administrator.
Overview
| NPI | 1902954332 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 8, 2007 |
| Last updated in NPPES | Jan 24, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | — | — |
| Specialist/Technologist, Athletic Trainer | 2255A2300X | AL351 | FL |
| Occupational Therapist | 225X00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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