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

Allan M Fiesta, PT

Individual provider Physical Therapist · NPI 1518307859

Allan M Fiesta, PT is a Physical Therapist in Private Practice in Jacksonville, Florida. Qualified in 2000, 26 years ago. Practices with Jacksonville Orthopaedic Institute Inc, a 61-clinician group and accepts Medicare assignment. Licensed in Florida and Georgia.

Years since qualifying
26
Licensed in
FL, GA
In the registry since
2013
Specialties on file
2
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

5393 Roosevelt Blvd Ste 17 Credentialing Dept
Jacksonville, FL 32210-8424
Phone: (904) 389-8570
Fax: (904) 389-8599
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT24647 (FL)
Physical Therapist Taxonomy 225100000X · Licence PT009552 (GA)

Record details

NPI number1518307859
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedJuly 1, 2013
Last updated in NPPESFebruary 4, 2015

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Group practice Jacksonville Orthopaedic Institute Inc — 61 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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