ELIZABETH J PAYNE (PT) – Physical Therapist, NPI 1295086379

ELIZABETH J PAYNE (PT) is a healthcare provider. based in Jacksonville, Florida. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. PT017595 (FL). The NPI Number for ELIZABETH J PAYNE (PT) is 1295086379

Main info

Female
2 Years Of Experience
Accepts Medicare Assignment
Name
ELIZABETH J PAYNE (PT)
NPI
1295086379
Phone
(850) 375-3673
Address
348 BROWARD RD
Enumeration Date
28 September 2012
Last Update Date
13 May 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8332337875
Graduation Year
2024 (2 years ago)
PAC ID
7214443761
Group Practice PAC ID
0941613590
Professional Enrollment ID
I20250722000882
Address ID
FL342314233SA5252XTRLX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:13State licenses:1Digital endpointsOther names

4,633 PHYSICAL THERAPIST IN PRIVATE PRACTICE in FL

Provider Addresses for ELIZABETH J PAYNE (PT)

  • 348 BROWARD RD

    JACKSONVILLE, FL 322186006

    Phone: (850) 375-3673

    Type: Mailing

  • 2730 ISABELLA BLVD

    JACKSONVILLE BEACH, FL 322508001

    Phone: (904) 372-4070

    Type: Location

  • 3007 BLACKSHEAR AVE

    PENSACOLA, FL 325034174

    Phone: (850) 433-5654

    Type: Mailing

  • 4624 SUMMERDALE DR

    PACE, FL 325711368

    Phone: (850) 994-3456

    Fax: (850) 994-3476

    Type: Location

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: 2025-07-22

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
I20250722000882IPhysical 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 32218)

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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: 0941613590View full group profile
NameSpecialtyState
Occupational Therapist In Private PracticeUT
Occupational Therapist In Private PracticeCA
Occupational Therapist In Private PracticeTX
Physical Therapist In Private PracticeNC
Occupational Therapist In Private PracticeTX
Physical Therapist In Private PracticeVA
Physical Therapist In Private PracticeTX
Occupational Therapist In Private PracticeTX
Physical Therapist In Private PracticeNJ
Physical Therapist In Private PracticeNY

Reviews

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Frequently asked questions

Does ELIZABETH J PAYNE (PT) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — ELIZABETH J PAYNE (PT) uses 1295086379.
Is ELIZABETH J PAYNE (PT) still practicing?
ELIZABETH J PAYNE (PT) is currently listed as active in the public NPI registry.
What is ELIZABETH J PAYNE (PT)'s primary classification?
Physical Therapist is the headline specialty for ELIZABETH J PAYNE (PT) here. Clinical services aligned with this taxonomy classification.
Where is ELIZABETH J PAYNE (PT) based?
ELIZABETH J PAYNE (PT) is tied to Jacksonville, Florida in the data we show; additional addresses may exist on the full record.
Is the information about ELIZABETH J PAYNE (PT) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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