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

Jared Alden Locke, PTA

Individual provider Sports Medicine (Physical Medicine & Rehabilitation) Physician · NPI 1255163879

Jared Alden Locke, PTA is a Sports Medicine (Physical Medicine & Rehabilitation) Physician in Orlando, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2024
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

1900 N Alafaya Trl
Orlando, FL 32826-4726
Phone: (407) 514-3657
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine (Physical Medicine & Rehabilitation) Physician (primary) Taxonomy 2081S0010X · Licence PTA31223 (FL)

Record details

NPI number1255163879
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorYes
NPI enumeratedAugust 14, 2024
Last updated in NPPESAugust 14, 2024
Certification dateAugust 14, 2024

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