Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Marivic Mallari Chang, PT, DPT, CKTP

Individual provider Physical Therapist · NPI 1578748059

Dr. Marivic Mallari Chang, PT, DPT, CKTP is a Physical Therapist in Jacksonville, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2008
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

9527 Regency Square Blvd Ste 105
Jacksonville, FL 32225-8807
Phone: (904) 647-4263
Fax: (904) 855-4010
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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 23745 (FL)

Record details

NPI number1578748059
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT , DPT , CKTP
Sole proprietorYes
NPI enumeratedJanuary 3, 2008
Last updated in NPPESJuly 21, 2022

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