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

Individual provider Physical Therapist · NPI 1982435871

Jacqueline Hart Stone Fussell, PT is a Physical Therapist in Private Practice in Lakeland, Florida. Qualified in 2024, 2 years ago. Practices with Watson Clinic LLP, a 362-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
2
Licensed in
FL
In the registry since
2024
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

1430 Lakeland Hills Blvd
Lakeland, FL 33805-3202
Phone: (863) 680-7700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2300 E County Road 540a, Lakeland, FL 33813-3825 — (863) 680-7700

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT41985 (FL)

Record details

NPI number1982435871
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedAugust 12, 2024
Last updated in NPPESAugust 21, 2024
Certification dateAugust 21, 2024

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 Watson Clinic Llp — 362 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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