Healthcare Provider Details

I. General information

NPI: 1437954344
Provider Name (Legal Business Name): JANECA MEGAN CUA PT, DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/14/2025
Last Update Date: 11/27/2025
Certification Date: 11/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

794 BLANDING BLVD
ORANGE PARK FL
32065-5721
US

IV. Provider business mailing address

12695 JULINGTON OAKS DR
JACKSONVILLE FL
32223-3754
US

V. Phone/Fax

Practice location:
  • Phone: 904-203-1888
  • Fax:
Mailing address:
  • Phone: 904-451-3208
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT41465
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: