Elizabeth Spinney , PA-C
Physician Assistant • Fleming Island, FL
4565 Us Highway 17 Ste 200
Fleming Island, FL 32003
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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Elizabeth Spinney is listed in NPPES under Physician Assistant.
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NPI assigned on January 23, 2008; this date does not establish years in practice.
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Published CMS data list 5,678 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- J7322 — Hyaluronan or derivative, hymovis, for intra-articular injection, 1 mg: 2,496 service units.
- J3301 — Injection, triamcinolone acetonide, not otherwise specified, 10 mg: 1,096 service units.
- J7318 — Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg: 1,020 service units.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
See all 13 records in the table · Guide: How to read Medicare Part B data
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Published CMS data list 961 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Oxycodone Hcl — 160 prescription fills, including refills.
- Meloxicam — 143 prescription fills, including refills.
- Ondansetron Hcl — 119 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 14 records in the table · Guide: How to read Medicare Part D prescriber data
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More Medicare Part B services than 90% of clinicians listed under Physician Assistant in Fleming Island, FL (2024, 11 clinicians with data). Median for this group: 821. Middle half: 148 to 2,773.
More Medicare Part B services than 95% of clinicians listed under Physician Assistant in Florida (2024, 4,401 clinicians with data). Median for this group: 251. Middle half: 82 to 807.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 198 in 2019 to 5,678 in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2019–2024.
Practice Location & Contact Primary Location
4565 Us Highway 17 Ste 200
Fleming Island, FL 32003
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
NPPES lists 11 distinct additional practice-address records in Jacksonville, FL; Orange Park, FL; Ponte Vedra Beach, FL and 2 more. See the list
Source: CMS NPPES NPI Registry, practice location records; release date unavailable.
CMS Doctors and Clinicians lists 2 distinct group names: Lake Area Physical Therapy Inc.; Southeast Orthopedic Specialists Llc. See the list
Source: CMS Doctors and Clinicians National Downloadable File, CMS release of October 2, 2026.
Listings do not confirm current availability, employment or a shared ownership network.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File, CMS release of October 2, 2026
2007
What Public CMS Data Show
Physician Assistant: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
450 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners – by Provider, 2024.
Medicare-allowed amount
About $130,746 in 2024
The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.
Paid by Medicare
About $103,400 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.
30-day fills
969 standardized 30-day fills in 2024
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$18,915 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024.
Open Payments general payments, program year 2025
All general payments: $2,222.30 across 13 records.
By nature of payment
- Travel and Lodging: $1,347.77 across 4 records.
- Food and Beverage: $737.52 across 8 records.
- Education: $137.01 across 1 record.
Reporting-company totals (3 largest of 4)
- Zimmer Biomet Holdings, Inc.: $1,561.72 across 8 records.
- Medical Device Business Services, Inc.: $269.00 across 2 records.
- Amgen Inc.: $215.50 across 2 records.
A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.
Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).
Years since graduation
19 years (graduated 2007)
CMS Doctors and Clinicians data list 2007 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished school.
What this does not show: Years since graduation
It is not the number of years in practice, and more years does not mean better care.
Source: CMS Doctors and Clinicians National Downloadable File, CMS release of October 2, 2026.
NPI first issued
2008
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
May accept Medicare assignment
CMS data show this clinician may accept Medicare assignment. Clinicians who do not always accept assignment can decide case by case.
Ask the office before your visit. If a clinician does not accept assignment for a service, they can charge up to 15% more than the Medicare-approved amount, and you may be asked to pay the full amount at the visit.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians, CMS release of October 2, 2026; Medicare.gov, “Does your provider accept Medicare as full payment?”
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians, CMS release of October 2, 2026.
Enrolled in Medicare (PECOS)
Elizabeth Spinney has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Elizabeth Spinney as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Fleming Island and Florida
Billing and prescribing volume is not a quality rating.
Medicare Part B services
More Medicare Part B services than 90% of clinicians listed under Physician Assistant in Fleming Island, FL (2024, 11 clinicians with data). Median for this group: 821. Middle half: 148 to 2,773.
More Medicare Part B services than 95% of clinicians listed under Physician Assistant in Florida (2024, 4,401 clinicians with data). Median for this group: 251. Middle half: 82 to 807.
Medicare-allowed amount
A higher Medicare-allowed amount than 70% of clinicians listed under Physician Assistant in Fleming Island, FL (2024, 11 clinicians with data). Median for this group: $63,739. Middle half: $12,687 to $133,668.
A higher Medicare-allowed amount than 90% of clinicians listed under Physician Assistant in Florida (2024, 4,401 clinicians with data). Median for this group: $19,897. Middle half: $7,332 to $51,670.
Paid by Medicare
A higher Medicare payment amount than 70% of clinicians listed under Physician Assistant in Fleming Island, FL (2024, 11 clinicians with data). Median for this group: $47,355. Middle half: $9,372 to $103,494.
A higher Medicare payment amount than 90% of clinicians listed under Physician Assistant in Florida (2024, 4,401 clinicians with data). Median for this group: $14,725. Middle half: $5,399 to $38,081.
Medicare Part D prescriptions
More Part D prescriptions than 75% of clinicians listed under Physician Assistant in Florida (2024, 4,888 clinicians with data). Median for this group: 270. Middle half: 78 to 824.
Too few clinicians listed under Physician Assistant in Fleming Island have Medicare Part D data for 2024 to compare.
Part D drug cost
A higher Part D drug cost than 60% of clinicians listed under Physician Assistant in Florida (2024, 4,888 clinicians with data). Median for this group: $5,195. Middle half: $699 to $69,841.
Too few clinicians listed under Physician Assistant in Fleming Island have Medicare Part D data for 2024 to compare.
23 active clinicians are listed under Physician Assistant with a practice address in Fleming Island, FL (10,554 in Florida).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Fleming Island
17.4% of these 23 clinicians have the CMS telehealth indicator.
65.2% of these 23 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services increased 2768% from 198 in 2019 to 5,678 in 2024.
- 2019: 198
- 2020: 28
- 2021: 35
- 2022: 37
- 2024: 5,678
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Medicare-allowed amount
Medicare-allowed amount increased 1182% from $10,201 in 2019 to $130,746 in 2024.
- 2019: $10,201
- 2020: $5,483
- 2021: $6,486
- 2022: $6,866
- 2024: $130,746
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Paid by Medicare
Paid by Medicare increased 1219% from $7,841 in 2019 to $103,400 in 2024.
- 2019: $7,841
- 2020: $4,392
- 2021: $5,053
- 2022: $5,417
- 2024: $103,400
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Medicare Part D prescriptions
Medicare Part D prescriptions went from 18 in 2018 to 961 in 2024.
- 2018: 18
- 2021: 181
- 2022: 540
- 2023: 90
- 2024: 961
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30-day fills
30-day fills went from 18 in 2018 to 969 in 2024.
- 2018: 18
- 2021: 192
- 2022: 577
- 2023: 90
- 2024: 969
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Part D drug cost
Part D drug cost increased 383% from $3,918 in 2018 to $18,915 in 2024.
- 2018: $3,918
- 2021: $1,612
- 2022: $5,877
- 2023: $1,075
- 2024: $18,915
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Industry payments (Open Payments)
Industry payments (Open Payments) went from $418.62 in 2021 to $2,222.30 in 2025.
- 2021: $418.62
- 2022: $339.53
- 2023: $48.63
- 2024: $1,098.11
- 2025: $2,222.30
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS release of October 2, 2026, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo · Report an error.
Pharma & Medical Device Financial Disclosures
Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments
Program year 2025 (payments made January 1 – December 31, 2025): 13 records totaling $2,222.30.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Zimmer Biomet Holdings, Inc. |
Travel and Lodging
In-kind items and services
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Oxford | General | $604.97 |
| Zimmer Biomet Holdings, Inc. |
Travel and Lodging
In-kind items and services
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Oxford | General | $353.90 |
| Zimmer Biomet Holdings, Inc. |
Travel and Lodging
In-kind items and services
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Oxford | General | $353.90 |
| Davol Inc. |
Food and Beverage
In-kind items and services
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ARISTA | General | $176.08 |
| Medical Device Business Services, Inc. |
Education
In-kind items and services
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STRATAFIX | General | $137.01 |
| Medical Device Business Services, Inc. |
Food and Beverage
In-kind items and services
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STRATAFIX | General | $131.99 |
| Amgen Inc. |
Food and Beverage
In-kind items and services
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OTEZLA | General | $124.99 |
| Amgen Inc. |
Food and Beverage
In-kind items and services
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TEZSPIRE | General | $90.51 |
| Zimmer Biomet Holdings, Inc. |
Food and Beverage
In-kind items and services
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Oxford | General | $86.61 |
| Zimmer Biomet Holdings, Inc. |
Food and Beverage
In-kind items and services
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Oxford | General | $66.68 |
| Zimmer Biomet Holdings, Inc. |
Food and Beverage
In-kind items and services
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Oxford | General | $44.45 |
| Zimmer Biomet Holdings, Inc. |
Travel and Lodging
In-kind items and services
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Oxford | General | $35.00 |
| Zimmer Biomet Holdings, Inc. |
Food and Beverage
In-kind items and services
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Persona | General | $16.21 |
Source: CMS Open Payments, program year 2025, released June 30, 2026.
Performed Procedures & Service Volume
CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016–2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners – by Provider and Service data, 2017–2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
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J7322
Hyaluronan or derivative, hymovis, for intra-articular injection, 1 mg
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2,496 | 58 | $51.69 | $17.18 |
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J3301
Injection, triamcinolone acetonide, not otherwise specified, 10 mg
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1,096 | 154 | $4.13 | $0.95 |
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J7318
Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg
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1,020 | 14 | $51.69 | $6.77 |
|
99213
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
|
340 | 243 | $273.96 | $75.37 |
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20610
Aspiration and/or injection of fluid from large joint
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258 | 162 | $283.43 | $61.42 |
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99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
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175 | 154 | $389.10 | $103.84 |
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73564
X-ray of knee, 4 or more views
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74 | 54 | $134.16 | $37.61 |
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20611
Aspiration and/or injection of fluid large joint using ultrasound guidance
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61 | 47 | $321.97 | $88.18 |
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73502
X-ray of hip, 2-3 views
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47 | 42 | $133.90 | $36.88 |
|
73562
X-ray of knee, 3 views
|
47 | 42 | $118.17 | $32.95 |
|
27447
Replacement of knee joint, both sides of knee
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31 | 29 | $1387.50 | $176.69 |
|
27130
Replacement of thigh bone and hip joint with prosthesis
|
17 | 17 | $1687.50 | $166.86 |
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72100
X-ray of lower and sacral spine, 2-3 views
|
16 | 16 | $116.46 | $32.25 |
Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2024.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Oxycodone Hcl | Oxycodone Hcl | 160 | 1,120 | $1,100.32 | 119 |
| Meloxicam | Meloxicam | 143 | 4,332 | $468.22 | 77 |
| Ondansetron Hcl | Ondansetron Hcl | 119 | 507 | $699.52 | 103 |
| Methocarbamol | Methocarbamol | 110 | 1,496 | $695.68 | 78 |
| Cefadroxil | Cefadroxil | 103 | 525 | $456.85 | 93 |
| Mupirocin | Mupirocin | 102 | 1,390 | $761.89 | 96 |
| Gabapentin | Gabapentin | 66 | 1,980 | $513.09 | 43 |
| Hydrocodone-Acetaminophen | Hydrocodone/Acetaminophen | 33 | 219 | $305.29 | 28 |
| Tramadol Hcl | Tramadol Hcl | 29 | 181 | $72.35 | 23 |
| Celecoxib | Celecoxib | 23 | 690 | $102.80 | — |
| Diclofenac Sodium | Diclofenac Sodium | 21 | 696 | $1,238.34 | 12 |
| Eliquis | Apixaban | 21 | 630 | $12,387.85 | 20 |
| Amoxicillin | Amoxicillin | 20 | 41 | $28.48 | 16 |
| Clindamycin Hcl | Clindamycin Hcl | 11 | 55 | $84.21 | — |
Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2025-07-28NUCC Taxonomy Code: 363A00000X
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
NUCC Taxonomy Code: 363AM0700X
Additional State Medicaid & Healthcare Payer Identifiers
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - PHYSICIAN ASSISTANT
I20080429000928
FL
6709965932
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Medicare Group Practice Enrollments
Source: CMS Doctors and Clinicians National Downloadable File, CMS release of October 2, 2026
Southeast Orthopedic Specialists Llc
10475 Centurion Pkwy N, Jacksonville, FL 322565004
Phone: 9046340640
Southeast Orthopedic Specialists Llc
15255 Max Leggett Pkwy, Jacksonville, FL 322187274
Phone: 9046340640
Southeast Orthopedic Specialists Llc
2300 Park Ave, Orange Park, FL 320735573
Phone: 9046340640
Southeast Orthopedic Specialists Llc
2627 Riverside Ave, Jacksonville, FL 322044717
Phone: 9046340640
Lake Area Physical Therapy Inc.
Po Box, Melrose, FL 326661099
Lake Area Physical Therapy Inc.
Po Box, Melrose, FL 326661099
Secondary Practice Locations
2300 Park Ave Ste 206
Orange Park, FL 320735573
Phone: 9046340640
10475 Centurion Pkwy N Ste 220
Jacksonville, FL 32256
Phone: 9046340640
4268 Oldfield Crossing Dr Ste 201
Jacksonville, FL 32223
Phone: 9046340640
3055 County Road 210 W Ste 110
St Johns, FL 32259
Phone: 9046340640
2 Shircliff Way Ste 605
Jacksonville, FL 32204
Phone: 9046340640
232 Ponte Vedra Park Dr
Ponte Vedra Beach, FL 32082
Phone: 9046340640
2627 Riverside Ave Ste 300
Jacksonville, FL 32204
Phone: 9046340640
1690 Us Highway 1 S Ste F
St Augustine, FL 32084
Phone: 9046340640
216 Southpark Cir E Ste 216
St Augustine, FL 32086
Phone: 9046340640
15255 Max Legget Pkwy Ste 5300
Jacksonville, FL 32218
Phone: 9046340640
45 Groover Loop Ste 201
St Augustine, FL 320866586
Phone: 9046340640
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Physician Assistant
Physician Assistant (Certified)
Orthopaedic Surgery
Doctor of Medicine (M.D.)
Physical Therapist
Doctor of Physical Therapy
Orthopaedic Surgery
Doctor of Medicine (M.D.)
Physician Assistant
Physician Assistant (Certified)
Physical Therapist
Doctor of Physical Therapy
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Additional practice office at 3055 County Road 210 W Ste 110, St Johns, FL 32259
Additional practice office at 45 Groover Loop Ste 201, St Augustine, FL 320866586
Additional practice office at 15255 Max Legget Pkwy Ste 5300, Jacksonville, FL 32218
Additional practice office at 216 Southpark Cir E Ste 216, St Augustine, FL 32086
Additional practice office at 4268 Oldfield Crossing Dr Ste 201, Jacksonville, FL 32223
Additional practice office at 2300 Park Ave Ste 206, Orange Park, FL 320735573
Additional practice office at 1690 US Highway 1 S Ste F, St Augustine, FL 32084
Additional practice office at 10475 Centurion Pkwy N Ste 220, Jacksonville, FL 32256
Additional practice office at 2627 Riverside Ave Ste 300, Jacksonville, FL 32204
Additional practice office at 2 Shircliff Way Ste 605, Jacksonville, FL 32204
Additional practice office at 232 Ponte Vedra Park Dr, Ponte Vedra Beach, FL 32082
Registered at 4565 US HIGHWAY 17 STE 200, FLEMING ISLAND, FL 32003 (Tel: 9046340640)
Recorded as ELIZABETH SPINNEY, PA-C
Registered at 2300 PARK AVE STE 206, ORANGE PARK, FL 320735573 (Tel: 9046340640)
Registered at 6800 SOUTHPOINT PKWY STE 300, JACKSONVILLE, FL 322168203 (Tel: 9046340640)
Physician Assistant (license number reported to NPPES: FL PAT9104477)
Registered at 4173 PRIMA LAGO CIR, LAKELAND, FL 338103062 (Tel: 8638166412)
Registered at 4173 PRIMA LAGO CIR, LAKELAND, FL 338103062
NPI status registered as active in NPPES database
Registered at 3030 HARDEN BLVD, LAKELAND, FL 338037952 (Tel: 8636871250)
Registered at 1324 LAKELAND HILLS BLVD, ATTN MANAGED CARE, LAKELAND, FL 338054543
Recorded as ELIZABETH SPINNEY, PA
Physician Assistant (license number reported to NPPES: FL PA9104477)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Physician Assistants in Fleming Island
- Maria Ready, PA
- Morgan Brett, PA-C
- Chris Le, PA-C
- Michelle Williams, PA
- Aria Gibbons, PA
- Judith Whitman, PA-C
Mailing Address
6800 Southpoint Pkwy Ste 300
Jacksonville, FL 322168203
Phone: 9046340640