MR. SHIRO IWAE (PT) – Physical Therapist, NPI 1407031750

MR. SHIRO IWAE (PT) is a healthcare provider. based in Jacksonville beach, Florida. specializing in Physical Therapist. They hold the professional credentials PT. They hold a License No. PT10623 (FL). The NPI Number for MR. SHIRO IWAE (PT) is 1407031750

Main info

Male
Sole Proprietor
Name
MR. SHIRO IWAE (PT)
NPI
1407031750
Phone
(904) 241-9500
Address
1401 PENMAN RD
Enumeration Date
7 January 2008
Last Update Date
7 January 2008
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

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Provider Addresses for MR. SHIRO IWAE (PT)

  • Penman Road, Pine Grove, Neptune Beach, Duval County, Florida, 32266, United States

    SUITE C

    JACKSONVILLE BEACH, FL 32250

    Phone: (904) 241-9500

    Fax: (904) 241-2009

    Type: Location

  • 1653, Linkside Court North, Selva Linkside, Atlantic Beach, Duval County, Florida, 32233, United States

    ATLANTIC BEACH, FL 32233

    Phone: (904) 241-9500

    Fax: (904) 241-2009

    Type: Mailing

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.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

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 ·

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 32250)

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Reviews

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Frequently asked questions

What is the standard ID for MR. SHIRO IWAE (PT) in the U.S.?
In the U.S., MR. SHIRO IWAE (PT) is identified by NPI 1407031750.
Is MR. SHIRO IWAE (PT) currently accepting referrals based on NPI status?
Registry metadata lists MR. SHIRO IWAE (PT) as active.
What type of care does MR. SHIRO IWAE (PT) provide?
MR. SHIRO IWAE (PT)'s profile centers on Physical Therapist. Clinical services aligned with this taxonomy classification.
Is MR. SHIRO IWAE (PT) tied to Jacksonville Beach, Florida?
If you are local to Jacksonville Beach, Florida, MR. SHIRO IWAE (PT) may be relevant to your search.
Who maintains MR. SHIRO IWAE (PT)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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