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

Heather Diana Profetto, PTA

Individual provider Physical Therapy Assistant · NPI 1316379332

Heather Diana Profetto, PTA is a Physical Therapy Assistant in Jacksonville, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2013
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

8505 San Jose Blvd
Jacksonville, FL 32217-4225
Phone: (904) 419-6101
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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 · Licence PTA 21452 (FL)

Record details

NPI number1316379332
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorYes
NPI enumeratedAugust 1, 2013
Last updated in NPPESAugust 1, 2013

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