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

Mary Suzzan Yake, LPTA

Individual provider Physical Therapy Assistant · NPI 1679251755

Mary Suzzan Yake, LPTA is a Physical Therapy Assistant in Jacksonville, Florida. Licensed in Florida. Registered with an NPI since 2023.

Licensed in
FL
In the registry since
2023

Practice location Address checks out

12276 San Jose Blvd Ste 508
Jacksonville, FL 32223-8618
Phone: (904) 886-3228
Fax: (904) 485-8876
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 PTA31647 (FL)

Record details

NPI number1679251755
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPTA
Sole proprietorNo
NPI enumeratedJuly 7, 2023
Last updated in NPPESJuly 7, 2023
Certification dateJuly 7, 2023

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