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

Summit Physical Therapy, PLLC

Organization Physical Therapist · NPI 1295591022

Summit Physical Therapy, PLLC is a Physical Therapist in Orange Park, Florida. Registered with an NPI since 2024.

In the registry since
2024
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 Ste 11
Orange Park, FL 32073-5129
Phone: (904) 592-1036
Fax: (904) 637-1532
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1295591022
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationSummit Physical Therapy
Authorized official Tara Vollertsen — Owner · (904) 644-7722
NPI enumeratedFebruary 28, 2024
Last updated in NPPESMay 11, 2026
Certification dateMay 11, 2026
Mailing address2219 County Road 220 Ste 304, Middleburg, FL 32068-7778

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