MEDICARE: SYDNEY DALTON PT, DPT, NCS

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	PT38347	FL

General Provider Information

NPI Number	:	1881526382
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SYDNEY DALTON PT, DPT, NCS

Provider Business Mailing Address
First Line	:	401 W 7TH ST # 346
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32206-4328
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8210 CYPRESS PLAZA DR STE 101
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32256-4475
Country	:	US
Telephone Number	:	904-516-0124
Fax Number	:

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

Provider Enumeration Date	:	06/01/2026
Last Update Date	:	06/01/2026

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