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

Mr. Jedryk Alan Codamon Quitzon, PT

Individual provider Physical Therapist · NPI 1558857029

Mr. Jedryk Alan Codamon Quitzon, PT is a Physical Therapist in Private Practice in Sunrise, Florida. Graduated from At Still Un of Hlth Sciences, Col of Osteo Med, Mesa in 2021, 5 years ago. Practices with Samasta Services Inc, a 4-clinician group and accepts Medicare assignment.

Years since qualifying
5
Trained at
At Still Un of Hlth Sciences, Col of Osteo Med, Mesa
In the registry since
2018
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

1580 Sawgrass Corporate Pkwy Ste 200
Sunrise, FL 33323-2869
Phone: (954) 296-4748
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1558857029
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorYes
NPI enumeratedJuly 7, 2018
Last updated in NPPESJuly 7, 2018
Mailing address1580 Sawgrass Corporate Pkwy Ste 200, Sunrise, FL 33323-2869

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolAT STILL UN OF HLTH SCIENCES, COL OF OSTEO MED, MESA
Graduated 2021 (5 years in practice)
Group practice Samasta Services Inc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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