Unknown Individual – Physical Therapist, NPI 1023045069
Physical Therapist
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
PO BOX 48116
JACKSONVILLE, FL 322478116
Phone: (904) 725-1657
Fax: (904) 725-7247
Type: Mailing
FL A1A, Palm Valley, Ponte Vedra Beach, Saint Johns County, Florida, United States
STE 18A
PONTE VEDRA BEACH, FL 320823220
Phone: (904) 285-2910
Fax: (904) 285-4663
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 32247)
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