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

Courtney Elaine Wilson, DPT

Individual provider Physical Therapist · NPI 1457047029

Courtney Elaine Wilson, DPT is a Physical Therapist in Jacksonville, Florida. Practices as a sole proprietor. Licensed in Indiana.

Licensed in
IN
In the registry since
2023
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

11705 San Jose Blvd Ste 111
Jacksonville, FL 32223-1653
Phone: (904) 345-7450
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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 05014973A (IN)

Record details

NPI number1457047029
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorYes
NPI enumeratedApril 17, 2023
Last updated in NPPESApril 17, 2023
Certification dateApril 14, 2023

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