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

Brian James Robertson

Individual provider Physical Therapist · NPI 1629454541

Brian James Robertson is a Physical Therapist in Private Practice in Jacksonville, Florida. Qualified in 2015, 11 years ago. Practices as a sole proprietor. Licensed in Florida.

Years since qualifying
11
Licensed in
FL
In the registry since
2015
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Practice location Address checks out

1045 Riverside Ave Ste 190
Jacksonville, FL 32204-4189
Phone: (904) 647-4284
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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 30588 (FL)

Record details

NPI number1629454541
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedAugust 3, 2015
Last updated in NPPESAugust 3, 2015

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Accepts Medicare assignment Not indicated

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