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

Benjamin Mathew, DPT

Individual provider Physical Therapist · NPI 1316777139

Benjamin Mathew, DPT is a Physical Therapist in Private Practice in Jacksonville, Florida. Qualified in 2024, 2 years ago. Practices with Southeast Orthopedic Specialists LLC, a 145-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
2
Licensed in
FL
In the registry since
2024
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

10475 Centurion Pkwy N Ste 305
Jacksonville, FL 32256-5004
Phone: (904) 634-0640
Fax: (904) 634-0203
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 13910 Fivay Rd Ste 6, Hudson, FL 34667-7130 — (727) 869-9479

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT42082 (FL)

Record details

NPI number1316777139
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedAugust 6, 2024
Last updated in NPPESJune 19, 2026
Certification dateJune 19, 2026

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Southeast Orthopedic Specialists Llc — 145 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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