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

Jacqueline Gentile

Individual provider Physical Therapy Assistant · NPI 1679130389

Jacqueline Gentile is a Physical Therapy Assistant in Port Orange, Florida. Licensed in Massachusetts, Oregon, Pennsylvania and South Dakota. Registered with an NPI since 2019.

Licensed in
MA, OR, PA, SD
In the registry since
2019
Specialties on file
4
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Practice location Address checks out

5535 S Williamson Blvd Ste 774
Port Orange, FL 32128-8321
Phone: (888) 265-2680
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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 9634 (MA)
Physical Therapy Assistant Taxonomy 225200000X · Licence TE011682 (PA)
Physical Therapy Assistant Taxonomy 225200000X · Licence 09713 (OR)
Physical Therapy Assistant Taxonomy 225200000X · Licence 0563 (SD)

Record details

NPI number1679130389
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 29, 2019
Last updated in NPPESJune 11, 2019
Mailing address6 Carey Ave, Carbondale, PA 18407-2520

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