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

Jordan Ridge, DPT

Individual provider Physical Therapist · NPI 1932991536

Jordan Ridge, DPT is a Physical Therapist in Private Practice in Saint Augustine, Florida. Qualified in 2025, 1 year ago. Practices with Saint Augustine Rehabilitation Specialists LLC, a 37-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
1
Licensed in
FL
In the registry since
2025
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

See every abbreviation used in this directory →

Practice location Address checks out

1711 Lakeside Ave Ste 3
Saint Augustine, FL 32084-4102
Phone: (904) 201-1080
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PTT43151 (FL)

Record details

NPI number1932991536
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorYes
NPI enumeratedMay 20, 2025
Last updated in NPPESMay 20, 2025
Certification dateMay 20, 2025
Mailing address105 Mariner Health Way Ste 213, Saint Augustine, FL 32086-3251

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Saint Augustine Rehabilitation Specialists Llc — 37 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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