MEDICARE: NANCY LEA POWLIN DPT, PT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist
2	225100000X	Physical Therapist	PT36797	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1598348948
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NANCY LEA POWLIN DPT, PT

Provider Business Mailing Address
First Line	:	816 PLAINFIELD AVE
Second Line	:
City	:	ORANGE PARK
State	:	FL
Zip	:	32073-3911
Country	:	US
Telephone Number	:	904-607-4774
Fax Number	:

Provider Business Practice Location Address
First Line	:	9560 CROSSHILL BLVD STE 110
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32222-5827
Country	:	US
Telephone Number	:	904-203-1296
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/04/2021
Last Update Date	:	05/08/2021

Similar Medicare Providers

1124263256 — MS. SHAVONDRA HUGGINS WHNP-BC, FNP-C
Practice Location Address:

9560 CROSSHILL BLVD , SUITE 110
JACKSONVILLE, FL
32222-5827

Practice Phone: 904-308-7792
Practice Fax: 904-779-7335

1326372061 — EYES ON OAKLEAF, P A
Practice Location Address:

9560 CROSSHILL BLVD STE 106
JACKSONVILLE, FL
32222-5827

Practice Phone: 904-777-2927
Practice Fax: 904-777-4047

1811703564 — NESERT ELLAINE PUENARY ASSOCIATE IN SCIENCE
Practice Location Address:

9560 CROSSHILL BLVD STE 110
JACKSONVILLE, FL
32222-5827

Practice Phone: 904-203-1296
Practice Fax:

1841356730 — ANN SHEILA COOK LCSW
Practice Location Address:

4212 ROBIN HOOD RD
JACKSONVILLE, FL
32210-5827

Practice Phone: 904-384-4977
Practice Fax:

1033911359 — LOVING HEARTS SENIOR SOLUTIONS
Practice Location Address:

13857 DEVAN LEE DR N
JACKSONVILLE, FL
32226-5827

Practice Phone: 904-234-0960
Practice Fax: 844-458-8736

1891276556 — DR. TRACY MARIE GENTRY DC
Practice Location Address:

9785 CROSSHILL BLVD STE 108
JACKSONVILLE, FL
32222-5889

Practice Phone: 904-772-6522
Practice Fax: 904-772-6553

Directions to “ NANCY LEA POWLIN DPT, PT” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.