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

Jeremy Durbin Jr.

Individual provider Physical Therapist · NPI 1063057636

Jeremy Durbin Jr. is a Physical Therapist in Port Orange, Florida. Licensed in Ohio, South Carolina and Texas. Registered with an NPI since 2019.

Licensed in
OH, SC, TX
In the registry since
2019
Specialties on file
3
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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 Therapist (primary) Taxonomy 225100000X · Licence 1325246 (TX)
Physical Therapist Taxonomy 225100000X · Licence PT018087 (OH)
Physical Therapist Taxonomy 225100000X · Licence 9733 (SC)

Record details

NPI number1063057636
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 7, 2019
Last updated in NPPESNovember 7, 2019

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