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NPI Code Detail

MEDICARE: KEVIN JONES DPT

MEDICARE: KEVIN JONES DPT
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
12081S0010XSports Medicine (Physical Medicine & Rehabilitation) PhysicianPT29558FL
2225100000XPhysical TherapistPT359558FL

Other Identifiers

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

General Provider Information

NPI Number : 1639570336
Entity Type Code : Individual
Provider Name (Legal Business Name) : KEVIN JONES DPT
Provider Business Mailing Address
First Line : 8823 SAN JOSE BLVD STE 209
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32217-4288
Country : US
Telephone Number : 904-404-7044
Fax Number : 904-404-7044
Provider Business Practice Location Address
First Line : 8823 SAN JOSE BLVD STE 209
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32217-4288
Country : US
Telephone Number : 904-404-7044
Fax Number : 904-329-2303
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/12/2014
Last Update Date : 02/12/2026

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