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

Michael Jessie Visita Roberts, PTA

Individual provider Physical Therapy Assistant · NPI 1396264982

Michael Jessie Visita Roberts, PTA is a Physical Therapy Assistant in Middleburg, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2017
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

1648 St Vincents Way 100B
Middleburg, FL 32068
Phone: (904) 214-3083
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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 PTA27840 (FL)

Record details

NPI number1396264982
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorYes
NPI enumeratedSeptember 14, 2017
Last updated in NPPESSeptember 14, 2017

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