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

Individual provider Physical Therapy Assistant · NPI 1578807863

Miss. Jacquelyn L Rodriguez, PTA is a Physical Therapy Assistant in Jacksonville, Florida. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2012
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

2440 Ormsby Cir W
Jacksonville, FL 32210-3928
Phone: (707) 338-7996
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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 AT8493 (CA)

Record details

NPI number1578807863
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorYes
NPI enumeratedNovember 27, 2012
Last updated in NPPESNovember 27, 2012

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