Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Providian Functional Capacity Specialists

Organization Physical Therapy Clinic/Center · NPI 1013258862

Providian Functional Capacity Specialists is a Physical Therapy Clinic/Center in Green Cove Springs, Florida. Licensed in Florida. Registered with an NPI since 2013.

Licensed in
FL
In the registry since
2013

Practice location Address checks out

716 N Orange Ave
Green Cove Springs, FL 32043-2920
Phone: (888) 957-3337
Fax: (904) 284-4244
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Clinic/Center (primary) Taxonomy 261QP2000X · Licence AL1714 (FL)

Record details

NPI number1013258862
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brian Imler — President · (904) 982-5762
Other names Providian Physical Therapy And Functional Capacity Specialists
NPI enumeratedMarch 4, 2013
Last updated in NPPESMarch 4, 2013
Mailing address716 N Orange Ave, Green Cove Springs, FL 32043-2920

Other providers in Green Cove Springs