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

Jacob Johnson

Individual provider Physical Therapy Assistant · NPI 1588333728

Jacob Johnson is a Physical Therapy Assistant in New Smyrna Beach, Florida. Licensed in Florida. Registered with an NPI since 2021.

Licensed in
FL
In the registry since
2021

Practice location Address checks out

916 N Dixie Fwy
New Smyrna Beach, FL 32168-6220
Phone: (386) 426-7885
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 30319 (FL)

Record details

NPI number1588333728
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 10, 2021
Last updated in NPPESSeptember 10, 2021
Certification dateSeptember 10, 2021
Mailing address1400 Volco Rd, Edgewater, FL 32141-6986

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