JENNISE MORIN (DPT) – Physical Therapist, NPI 1104410653

JENNISE MORIN (DPT) is a healthcare provider. based in St petersburg, Florida. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. PT36766 (MA). The NPI Number for JENNISE MORIN (DPT) is 1104410653

Main info

Female
Sole Proprietor
7 Years Of Experience
Accepts Medicare Assignment
Name
JENNISE MORIN (DPT)
NPI
1104410653
Phone
(727) 894-5152
Address
718 22ND AVE S
Enumeration Date
25 February 2021
Last Update Date
25 February 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8886272325
Graduation Year
2019 (7 years ago)
PAC ID
7719469832
Group Practice PAC ID
9032566799
Professional Enrollment ID
I20260306000950
Address ID
FL334775142JU900XXRDXX401

Contacts

Main Contact
https://southheritagehealthandrehab.com/
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness85
Years active:5State licenses:1Other namesUpdated within 12 months

4,633 PHYSICAL THERAPIST IN PRIVATE PRACTICE in FL

Provider Addresses for JENNISE MORIN (DPT)

  • 718 22ND AVE S

    ST PETERSBURG, FL 337053004

    Phone: (727) 894-5152

    Type: Location

  • 7892 SAILBOAT KEY BLVD S UNIT 601

    SOUTH PASADENA, FL 337076363

    Phone: (774) 254-5993

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2026-03-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20260306000950IPhysical Therapist In Private PracticeFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33705)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9032566799View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeFL
Physical Therapist In Private PracticeMD
Physical Therapist In Private PracticeFL
Physical Therapist In Private PracticeFL
Physical Therapist In Private PracticeNJ
Physical Therapist In Private PracticeWA
Occupational Therapist In Private PracticeFL
Occupational Therapist In Private PracticeFL
Physical Therapist In Private PracticeFL
Physical Therapist In Private PracticeFL

Reviews

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Frequently asked questions

What identifier follows JENNISE MORIN (DPT) across health systems?
The NPI 1104410653 uniquely identifies JENNISE MORIN (DPT) in U.S. healthcare data.
Is JENNISE MORIN (DPT) currently accepting referrals based on NPI status?
Registry metadata lists JENNISE MORIN (DPT) as active.
What does the directory say JENNISE MORIN (DPT) does?
Insurance directories may phrase it differently, but here JENNISE MORIN (DPT) maps to Physical Therapist. Clinical services aligned with this taxonomy classification.
Which community is linked to JENNISE MORIN (DPT)?
JENNISE MORIN (DPT) shows a connection to St Petersburg, Florida in registry-derived data.
Why is information missing for JENNISE MORIN (DPT)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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