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

Jacqueline Danielle Shiftlett, PTA

Individual provider Physical Therapy Assistant · NPI 1639401433

Jacqueline Danielle Shiftlett, PTA is a Physical Therapy Assistant in Orlando, Florida. Licensed in Florida. Registered with an NPI since 2010.

Licensed in
FL
In the registry since
2010
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

11301 Corporate Blvd Ste 101
Orlando, FL 32817-8355
Phone: (800) 774-7785
Fax: (888) 345-7994
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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 20546 (FL)

Record details

NPI number1639401433
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorNo
NPI enumeratedFebruary 3, 2010
Last updated in NPPESAugust 6, 2010
Mailing address1409 Periwinkle Ct., Lakeland, FL 33811

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