Healthcare Provider Details

I. General information

NPI: 1801688080
Provider Name (Legal Business Name): JESSICA HOWARTH PT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/21/2025
Last Update Date: 05/21/2025
Certification Date: 05/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3599 UNIVERSITY BLVD S
JACKSONVILLE FL
32216-4252
US

IV. Provider business mailing address

1521 FELCH AVE
JACKSONVILLE FL
32207-5404
US

V. Phone/Fax

Practice location:
  • Phone: 904-895-4574
  • Fax:
Mailing address:
  • Phone: 863-860-7270
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251N0400X
TaxonomyNeurology Physical Therapist
License NumberPT28531
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: