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Brittany Gard

Physical Therapist in Jacksonville, FL. Individual provider (NPI-1).

NPI number1457763286
StatusActive
Last updated in NPPESMay 28, 2014

Details

NPI
1457763286
Entity type
Individual (NPI-1)
Name
Brittany Gard
Sex
Female
Sole proprietor
No
Enumeration date
May 28, 2014
Last updated
May 28, 2014

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist27494FLYes

Practice location

2703 McCormick Woods Dr
Jacksonville, FL 32225-5703

Phone 404-915-9798

Mailing address

2703 McCormick Woods Dr
Jacksonville, FL 32225-5703

Phone 404-915-9798

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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