Theron A Jernigan Jr, PT is a
Physical Therapist based in Redington Beach, Florida. Theron A Jernigan Jr is licensed to practice in Florida (license number PT0000792) and his current practice location is
15851 Redington Dr, Redington Beach, Florida. He can be reached at his office (for appointments etc.) via phone at
(727) 403-1881.
NPI number for Theron A Jernigan Jr is 1861521502 and his current mailing address is 15851 Redington Dr, Redington Beach, Florida. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1861521502.
Healthcare Provider's Profile
| Full Name | Theron A Jernigan Jr |
|---|
| Gender | Male |
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| Speciality | Physical Therapist |
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| Location | 15851 Redington Dr, Redington Beach, Florida |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1861521502
- Provider Enumeration Date: 03/05/2007
- Last Update Date: 02/21/2010
Medical Identifiers
Medical identifiers for Theron A Jernigan Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1861521502 | NPI | - | NPPES |
| PT0000792 | Other | FL | PHYSICAL THERAPIST |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225100000X | Physical Therapist | PT0000792 (Florida) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Theron A Jernigan Jr is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Theron A Jernigan Jr, PT
15851 Redington Dr,
Redington Beach, FL 33708-1743
Ph: (727) 397-8260 | Theron A Jernigan Jr, PT
15851 Redington Dr,
Redington Beach, FL 33708-1743
Ph: (727) 403-1881 |
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