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

Mr. Oscar Bryan Kelley Villanueva, PT

Individual provider Physical Therapist · NPI 1164509378

Mr. Oscar Bryan Kelley Villanueva, PT is a Physical Therapist in Private Practice in Jacksonville, Florida. Qualified in 1996, 30 years ago. Practices with Access Physical Therapy LLC, a 2-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
30
Licensed in
FL
In the registry since
2006
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

7530 103rd St Ste 13
Jacksonville, FL 32210-6786
Phone: (904) 771-3679
Fax: (888) 231-3159
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT18430 (FL)

Record details

NPI number1164509378
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedNovember 1, 2006
Last updated in NPPESSeptember 6, 2022
Certification dateSeptember 6, 2022

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1996 (30 years in practice)
Group practice Access Physical Therapy Llc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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