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

Heather Cheyenne Dortch

Individual provider Physical Therapy Assistant · NPI 1013642982

Heather Cheyenne Dortch is a Physical Therapy Assistant in Jacksonville, Florida. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

11401 Old Saint Augustine Rd
Jacksonville, FL 32258-1402
Phone: (904) 260-1818
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X

Record details

NPI number1013642982
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 23, 2022
Last updated in NPPESJuly 23, 2022
Certification dateJuly 21, 2022
Mailing address70 Brooklyn Ln, Palm Coast, FL 32137-8723

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