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

Dr. Darrell George Vydra, DO

Individual provider Physical Therapist · NPI 1689945495

Dr. Darrell George Vydra, DO is a Pain Management in Jacksonville, Florida. Graduated from William Carey University College of Osteopathic Medicine in 2017, 9 years ago. Practices with Custom Physical Therapy Limited Partnership, a 81-clinician group and accepts Medicare assignment. Licensed in Florida and Mississippi.

Years since qualifying
9
Trained at
William Carey University College of Osteopathic Medicine
Licensed in
FL, MS
In the registry since
2012
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

4500 San Pablo Rd S
Jacksonville, FL 32224-1865
Phone: (904) 953-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pain Medicine Physician (primary) Taxonomy 208VP0000X · Licence OS17817 (FL)
Physical Therapist Taxonomy 225100000X · Licence 4942 (MS)

Record details

NPI number1689945495
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJanuary 25, 2012
Last updated in NPPESJanuary 24, 2023
Certification dateJanuary 24, 2023
Mailing address4500 San Pablo Rd S, Jacksonville, FL 32224-1865

Medicare enrollment

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

Medicare specialtyPAIN MANAGEMENT
Medical schoolWILLIAM CAREY UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated 2017 (9 years in practice)
Group practice Custom Physical Therapy Limited Partnership — 81 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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