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

Summit Physical Therapy, PLLC

Organization Occupational Therapy Assistant · NPI 1225817695

Summit Physical Therapy, PLLC is an Occupational Therapy Assistant in Orange Park, Florida. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
3
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2140 Kingsley Ave
Orange Park, FL 32073-5180
Phone: (904) 644-7722
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X
Occupational Therapy Assistant Taxonomy 224Z00000X
Massage Therapist Taxonomy 225700000X

Record details

NPI number1225817695
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tara Vollertsen — Owner · (904) 644-7722
NPI enumeratedSeptember 26, 2023
Last updated in NPPESMay 11, 2026
Certification dateMay 11, 2026
Mailing address2140 Kingsley Ave, Orange Park, FL 32073-5180

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