JEREMY BRYAN (DPT) – Physical Therapist, NPI 1467124578

JEREMY BRYAN (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. PT37509 (FL). The NPI Number for JEREMY BRYAN (DPT) is 1467124578

Main info

Male
5 Years Of Experience
Accepts Medicare Assignment
Name
JEREMY BRYAN (DPT)
NPI
1467124578
Phone
(904) 953-2000
Address
4500 San Pablo Rd S
Enumeration Date
28 September 2021
Last Update Date
13 February 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4345829838
Graduation Year
2021 (5 years ago)
PAC ID
7517349962
Group Practice PAC ID
0143553206
Professional Enrollment ID
I20241107000286
Address ID
VA245022943LY4011XRDXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness75
Years active:4State licenses:8Digital endpointsOther names

4,633 PHYSICAL THERAPIST IN PRIVATE PRACTICE in FL

Provider Addresses for JEREMY BRYAN (DPT)

  • 4500 San Pablo Rd S

    Jacksonville, FL 322241865

    Phone: (904) 953-2000

    Type: Location

  • 10133 SHERRILL BLVD STE 200

    KNOXVILLE, TN 379323347

    Phone: (865) 531-2204

    Type: Mailing

  • 157 HOME AVE

    DARLINGTON, SC 295327625

    Phone: (843) 393-2867

    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: 2025-02-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 8 Medicare enrollment records; no due dates published yet.

Enrollment records

8

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
I20220801002429IPhysical Therapist In Private PracticeFLTBD
I20220908002223IPhysical Therapist In Private PracticeSCTBD
I20240524002947IPhysical Therapist In Private PracticeALTBD
I20240601000435IPhysical Therapist In Private PracticeKSTBD
I20240709000805IPhysical Therapist In Private PracticeNCTBD
I20240806003990IPhysical Therapist In Private PracticePATBD
I20241107000286IPhysical Therapist In Private PracticeVATBD
I20250210002963IPhysical 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 32224)

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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: 0143553206View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeAL
Physical Therapist In Private PracticeVA
Physical Therapist In Private PracticeAL
Physical Therapist In Private PracticeAL
Physical Therapist In Private PracticeVA
Physical Therapist In Private PracticeAL
Physical Therapist In Private PracticePA
Physical Therapist In Private PracticeAL
Physical Therapist In Private PracticeAL
Physical Therapist In Private PracticeAL

Reviews

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Frequently asked questions

What is the 10-digit NPI for JEREMY BRYAN (DPT)?
JEREMY BRYAN (DPT) — NPI 1467124578 — is the standard way to identify this listing.
Does the file indicate JEREMY BRYAN (DPT) is practicing under active NPI?
Directory data currently reports JEREMY BRYAN (DPT) as active.
What is JEREMY BRYAN (DPT)'s primary classification?
Physical Therapist is the headline specialty for JEREMY BRYAN (DPT) here. Clinical services aligned with this taxonomy classification.
Does JEREMY BRYAN (DPT) list a practice location?
Patients near Jacksonville, Florida may find JEREMY BRYAN (DPT) in results; validate coverage separately.
Is the information about JEREMY BRYAN (DPT) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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