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

Individual provider Physical Therapist · NPI 1902533169

Jesse McCoy Pietroburgo, DPT is a Physical Therapist in Private Practice in Ormond Beach, Florida. Qualified in 2022, 4 years ago. Practices with University Rehabilitation, LLC, a 21-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
4
Licensed in
FL
In the registry since
2022
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

739A S Nova Rd
Ormond Beach, FL 32174-7332
Phone: (386) 671-2626
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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 PT39083 (FL)

Record details

NPI number1902533169
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedAugust 6, 2022
Last updated in NPPESAugust 6, 2022
Certification dateAugust 6, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice University Rehabilitation, Llc — 21 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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