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

Kelsey Lake, DPT

Individual provider Physical Therapist · NPI 1134675119

Kelsey Lake, DPT is a Physical Therapist in Orange Park, Florida. Registered with an NPI since 2016.

In the registry since
2016
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

784 Blanding Blvd Ste 108
Orange Park, FL 32065-7724
Phone: (904) 264-2636
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1134675119
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedAugust 30, 2016
Last updated in NPPESNovember 10, 2021
Certification dateNovember 10, 2021
Mailing address360 River Reach Rd, Fleming Island, FL 32003-8184

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