Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mrs. Jennifer Lynn Rusich

Individual provider Physical Therapist · NPI 1285874917

Mrs. Jennifer Lynn Rusich is a Physical Therapist in Private Practice in St Augustine, Florida. Qualified in 2020, 6 years ago. Practices with Base Physical Therapy LLC, a 3-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
6
Licensed in
FL
In the registry since
2009
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Practice location Address checks out

1405 Moon Harbor Ct
St Augustine, FL 32092-5099
Phone: (904) 230-7204
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT18981 (FL)

Record details

NPI number1285874917
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 20, 2009
Last updated in NPPESFebruary 20, 2009

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Base Physical Therapy Llc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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