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

Brendan Michael Bak

Individual provider Physical Therapist · NPI 1407406283

Brendan Michael Bak is a Physical Therapist in Private Practice in Jacksonville, Florida. Qualified in 2019, 7 years ago. Practices with Michael Jones DPT Atc Cscs LLC, a 5-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
7
Licensed in
FL
In the registry since
2019
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Practice location Address checks out

1034 Dunn Ave
Jacksonville, FL 32218-4830
Phone: (904) 757-1782
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4914 Ballastone Dr, Jacksonville, FL 32257-3000 — (954) 240-8632

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT35027 (FL)

Record details

NPI number1407406283
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 13, 2019
Last updated in NPPESFebruary 6, 2024
Certification dateFebruary 6, 2024
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 2019 (7 years in practice)
Group practice Michael Jones Dpt Atc Cscs Llc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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