HAILLE MARIE POPPE (DPT) – Physical Therapist, NPI 1609638600

HAILLE MARIE POPPE (DPT) is a healthcare provider. based in Jacksonville, Florida. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. PT41130 (FL). The NPI Number for HAILLE MARIE POPPE (DPT) is 1609638600

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
HAILLE MARIE POPPE (DPT)
NPI
1609638600
Phone
(904) 634-0640
Address
6800 SOUTHPOINT PKWY STE 300
Enumeration Date
25 January 2024
Last Update Date
31 January 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4043550743
Graduation Year
2023 (3 years ago)
PAC ID
5496192833
Group Practice PAC ID
4587552963
Professional Enrollment ID
I20250624001867
Address ID
GA303091476AT2001XNEXX409
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

4,633 PHYSICAL THERAPIST IN PRIVATE PRACTICE in FL

Provider Addresses for HAILLE MARIE POPPE (DPT)

  • 6800 SOUTHPOINT PKWY STE 300

    JACKSONVILLE, FL 322168203

    Phone: (904) 634-0640

    Fax: (904) 634-0203

    Type: Mailing

  • 232 PONTE VEDRA PARK DR

    PONTE VEDRA BEACH, FL 320826600

    Phone: (904) 634-0640

    Fax: (904) 634-0203

    Type: Location

  • 4565 US Highway 17 Ste 200

    Fleming Island, FL 320034823

    Phone: (904) 634-0640

    Type: Location

  • 2 Shircliff Way Ste 605

    Jacksonville, FL 322044762

    Phone: (904) 634-0640

    Type: Location

  • 3055 County Road 210 W Ste 110

    St Johns, FL 322597001

    Phone: (904) 634-0640

    Type: Location

  • 10475 Centurion Pkwy N Ste 220

    Jacksonville, FL 322565004

    Phone: (904) 634-0640

    Type: Location

  • 15255 Max Legget Pkwy Ste 5300

    Jacksonville, FL 322187274

    Phone: (904) 634-0640

    Fax: (904) 634-0203

    Type: Location

  • 216 Southpark Cir E Ste 216

    St Augustine, FL 320865135

    Phone: (904) 634-0640

    Type: Location

  • 690 US-1 South

    Suite F

    st. Augustine, FL 32086

    Phone: (904) 634-0640

    Type: Location

  • 2300 Park Ave Ste 206

    Orange Park, FL 320735573

    Phone: (904) 634-0640

    Type: Location

  • 2627 Riverside Ave Ste 300

    Jacksonville, FL 322044717

    Phone: (904) 634-0640

    Type: Location

  • 4268 Oldfield Crossing Dr Ste 201

    Jacksonville, FL 322238800

    Phone: (904) 634-0640

    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: 2025-06-24

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20240321001626IPhysical Therapist In Private PracticeFLTBD
I20250624001867IPhysical Therapist In Private PracticeGATBD

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 32216)

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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: 4587552963View full group profile
NameSpecialtyState
Physician AssistantGA
Orthopedic Surgery, Hand SurgeryGA
Physician AssistantGA
Physician AssistantGA
Physical Therapist In Private PracticeFL
-GA
Orthopedic SurgeryPA
Physical Therapist In Private PracticeGA
Physician AssistantGA
-GA

Reviews

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Frequently asked questions

What federal number belongs to HAILLE MARIE POPPE (DPT)?
The federal identifier for HAILLE MARIE POPPE (DPT) is NPI 1609638600.
Is HAILLE MARIE POPPE (DPT) active in the national directory?
HAILLE MARIE POPPE (DPT)'s public NPI profile is in an active state.
What kind of provider is HAILLE MARIE POPPE (DPT)?
The page reflects Physical Therapist for HAILLE MARIE POPPE (DPT). Clinical services aligned with this taxonomy classification.
What location metadata exists for HAILLE MARIE POPPE (DPT)?
The page summarizes Jacksonville, Florida for HAILLE MARIE POPPE (DPT); expand the address list for detail.
How can I contact HAILLE MARIE POPPE (DPT)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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