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

Genesis B Villanueva, PT

Individual provider Physical Therapist · NPI 1447521968

Genesis B Villanueva, PT is a Physical Therapist in Jacksonville, Florida. Licensed in Florida. Registered with an NPI since 2012.

Licensed in
FL
In the registry since
2012
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

12961 N Main St Ste 201&202 Credentialing Dept
Jacksonville, FL 32218-2769
Phone: (904) 757-2474
Fax: (904) 757-5541
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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 PT27082 (FL)

Record details

NPI number1447521968
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedJanuary 13, 2012
Last updated in NPPESFebruary 4, 2015

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