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

Jacob Lucas Broadhurst, PT, DPT

Individual provider Physical Therapist · NPI 1164916839

Jacob Lucas Broadhurst, PT, DPT is a Physical Therapist in Jacksonville, Florida. Licensed in Florida. Registered with an NPI since 2018.

Licensed in
FL
In the registry since
2018
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

3311 Beach Blvd
Jacksonville, FL 32207-3704
Phone: (352) 246-7339
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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 30341 (FL)

Record details

NPI number1164916839
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedJune 18, 2018
Last updated in NPPESJune 18, 2018

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