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

Connor Grant, DPT

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1154953172

Connor Grant, 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 7 locations and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
2
Licensed in
FL
In the registry since
2020
Specialties on file
2
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

2627 Riverside Ave Ste 300
Jacksonville, FL 32204-4717
Phone: (904) 634-0640
Fax: (904) 634-0640
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (6)

  • 4565 Us Highway 17 Ste 17, Fleming Island, FL 32003-4842 — (904) 634-0640
  • 2110 Herschel St, Jacksonville, FL 32204-3820 — (904) 634-0640
  • 4268 Oldfield Crossing Dr Ste 201, Jacksonville, FL 32223-8800 — (904) 634-0640
  • 10475 Centurion Pkwy N Ste 305, Jacksonville, FL 32256-5004 — (904) 634-0640
  • 232 Ponte Vedra Park Dr, Ponte Vedra Beach, FL 32082-6600 — (904) 634-0640
  • 3055 County Road 210 W Ste 110, St Johns, FL 32259-7001 — (904) 634-0640

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT42154 (FL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1154953172
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorYes
NPI enumeratedFebruary 7, 2020
Last updated in NPPESMay 15, 2025
Certification dateMay 15, 2025
Mailing address6800 Southpoint Pkwy Ste 300, Jacksonville, FL 32216-8203

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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