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

Allie Pruett, PT, DPT

Individual provider Pediatric Physical Therapist · NPI 1093317455

Allie Pruett, PT, DPT is a Physical Therapist in Private Practice in Jacksonville, Florida. Qualified in 2020, 6 years ago. Practices with Genesis Health Development Inc, a 4-clinician group and accepts Medicare assignment. Licensed in Florida and Virginia.

Years since qualifying
6
Licensed in
FL, VA
In the registry since
2020
Specialties on file
2
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

3901 University Blvd S
Jacksonville, FL 32216-4312
Phone: (904) 345-6920
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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 PT36210 (FL)
Pediatric Physical Therapist Taxonomy 2251P0200X · Licence 2305213885 (VA)

Record details

NPI number1093317455
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedNovember 11, 2020
Last updated in NPPESJuly 20, 2023
Certification dateJuly 20, 2023
Mailing address3901 University Blvd S, Jacksonville, FL 32216-4312

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Genesis Health Development Inc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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