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

Individual provider Physical Therapist · NPI 1457879371

Dr. Shelby Fuentes, PT, DPT is a Physical Therapist in Jacksonville, Florida. Practices as a sole proprietor. Licensed in Florida, New York, South Carolina and Texas.

Licensed in
FL, NY, SC, TX
In the registry since
2017
Specialties on file
4
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

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 37408 (FL)
Physical Therapist Taxonomy 225100000X · Licence 9654 (SC)
Physical Therapist Taxonomy 225100000X · Licence 1386162 (TX)
Neurology Physical Therapist Taxonomy 2251N0400X · Licence 041958-1 (NY)

Record details

NPI number1457879371
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT , DPT
Sole proprietorYes
NPI enumeratedAugust 30, 2017
Last updated in NPPESNovember 30, 2023
Certification dateNovember 30, 2023

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