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

Jessica Ann Braddock

Individual provider Physical Therapy Assistant · NPI 1124340351

Jessica Ann Braddock is a Physical Therapy Assistant in Jacksonville, Florida. Licensed in Florida. Registered with an NPI since 2010.

Licensed in
FL
In the registry since
2010

Practice location Address checks out

4495 Roosevelt Blvd Ste #317
Jacksonville, FL 32210-3375
Phone: (904) 384-4415
Fax: (904) 384-4212
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence PTA21789 (FL)

Record details

NPI number1124340351
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 15, 2010
Last updated in NPPESFebruary 15, 2010
Mailing address540 Kingsley Ave, Orange Park, FL 32073-4830

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