JOSHUA JEFFERIES – Physical Therapist, NPI 1396621991

JOSHUA JEFFERIES is a healthcare provider. based in Lutz, Florida. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold a License No. PT43451 (FL). The NPI Number for JOSHUA JEFFERIES is 1396621991

Main info

Male
1 Year Of Experience
Accepts Medicare Assignment
Name
JOSHUA JEFFERIES
NPI
1396621991
Phone
(727) 475-5540
Address
21756 STATE ROAD 54 STE 102
Enumeration Date
12 August 2025
Last Update Date
12 August 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7274755538
Graduation Year
2025 (1 year ago)
PAC ID
4385147958
Group Practice PAC ID
4082899273
Professional Enrollment ID
I20250910002732
Address ID
FL346841968PA3509519XX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience24
Completeness85
Years active:0State licenses:1Digital endpointsOther names

4,633 PHYSICAL THERAPIST IN PRIVATE PRACTICE in FL

Provider Addresses for JOSHUA JEFFERIES

  • 21756 STATE ROAD 54 STE 102

    LUTZ, FL 335492905

    Phone: (727) 475-5540

    Type: Mailing

  • 35095 US HIGHWAY 19 N STE 101

    PALM HARBOR, FL 346841968

    Phone: (727) 475-5538

    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: 2025-09-10

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
I20250910002732IPhysical 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 33549)

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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: 4082899273View full group profile
NameSpecialtyState
-FL
Physical Therapist In Private PracticeFL
Physical Therapist In Private PracticeFL
-FL

Reviews

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Frequently asked questions

Is JOSHUA JEFFERIES listed with a National Provider Identifier?
Yes — JOSHUA JEFFERIES has NPI 1396621991 on file in the registry.
Is JOSHUA JEFFERIES still an active registrant?
JOSHUA JEFFERIES carries an active NPI according to the public dataset.
What clinical focus is listed for JOSHUA JEFFERIES?
At a glance, JOSHUA JEFFERIES is tied to Physical Therapist. Clinical services aligned with this taxonomy classification.
Where in Florida is JOSHUA JEFFERIES registered?
Use Lutz, Florida as the headline location for JOSHUA JEFFERIES here.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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