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

Jack Fletcher

Individual provider Physical Therapist · NPI 1023849387

Jack Fletcher is a Physical Therapist in Private Practice in Jacksonville, Florida. Qualified in 2024, 2 years ago. Practices with Coltman and Baughman Physical Therapy PA, a 10-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
2
Licensed in
FL
In the registry since
2024
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Practice location Address checks out

350 13th Ave S
Jacksonville, FL 32250-5024
Phone: (904) 853-5106
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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 42156 (FL)

Record details

NPI number1023849387
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedAugust 9, 2024
Last updated in NPPESAugust 9, 2024
Certification dateAugust 2, 2024
Mailing address5732 Clifton Ave, Jacksonville, FL 32211-6973

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Coltman And Baughman Physical Therapy Pa — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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