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

Kent Lippert, PTA

Individual provider Physical Therapy Assistant · NPI 1497879969

Kent Lippert, PTA is a Physical Therapy Assistant in Jacksonville Beach, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2007
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

333 1st St N Ste 2001
Jacksonville Beach, FL 32250-6945
Phone: (800) 920-5038
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 14121 (FL)

Record details

NPI number1497879969
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorYes
NPI enumeratedMarch 19, 2007
Last updated in NPPESJuly 8, 2007
Mailing addressPo Box 1154, Melbourne, FL 32902-1154

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