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

Adrienne Lee Vickers

Individual provider Pediatric Physical Therapist · NPI 1477806230

Adrienne Lee Vickers is a Pediatric Physical Therapist in Jacksonville, Florida. Licensed in Florida and Georgia. Registered with an NPI since 2012.

Licensed in
FL, GA
In the registry since
2012
Specialties on file
2

Practice location Address checks out

12276 San Jose Blvd Ste 508
Jacksonville, FL 32223-8618
Phone: (904) 886-3228
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 27845 (FL)
Pediatric Physical Therapist Taxonomy 2251P0200X · Licence PT010912 (GA)

Record details

NPI number1477806230
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 18, 2012
Last updated in NPPESOctober 5, 2021
Certification dateOctober 5, 2021
Mailing address12276 San Jose Blvd Ste 508, Jacksonville, FL 32223-8618

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