| Jennifer Amanda Justice, DPT, SCS | |
|
1525 Virgils Way Unit 1, Green Cove Springs, FL 32043-3780 | |
| (904) 657-0089 | |
| (904) 560-5283 |
| Full Name | Jennifer Amanda Justice |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 1525 Virgils Way Unit 1, Green Cove Springs, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891948774 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2251S0007X | Physical Therapist - Sports | PT28237 (Florida) | Secondary |
| 225100000X | Physical Therapist | PT28237 (Florida) | Primary |
| Provider Name | Southeast Orthopedic Specialists Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1629025820 PECOS PAC ID: 1456246974 Enrollment ID: O20040216000301 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Amanda Justice, DPT, SCS 2216 Green Heron Ct, Fleming Island, FL 32003-8600 Ph: (904) 434-5737 | Jennifer Amanda Justice, DPT, SCS 1525 Virgils Way Unit 1, Green Cove Springs, FL 32043-3780 Ph: (904) 657-0089 |
Ms. Vesmina L Vanta, RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 803 Oak St, Governors Creek Health And Rehab, Green Cove Springs, FL 32043 Phone: 904-284-5606 | |
Creekside Physical Therapy Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 282 Arthur Moore Dr, Green Cove Springs, FL 32043 Phone: 904-588-5262 | |
Hannah Souksavong, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1305 N Orange Ave Ste 118, Green Cove Springs, FL 32043 Phone: 904-531-5500 | |
Jana Renee Shaddix Diaz, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3505 Olympic Dr, Green Cove Springs, FL 32043 Phone: 904-302-7268 | |
Estrella Jane A. Pena, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: Penney Farms 3 Pavillion Place 3495 Hoffman St, Green Cove Springs, FL 32043 Phone: 904-284-8200 | |
Ms. Shelley A. Ryan, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 411 Walnut St, #4199, Green Cove Springs, FL 32043 Phone: 609-221-6994 | |
Brandy Danielle Barth, DPT Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 2879 Majestic Oaks Ln, Green Cove Springs, FL 32043 Phone: 904-465-2934 |