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

Mr. Perry Fardella, PT, ATC, CSCS

Individual provider Physical Therapist · NPI 1265658348

Mr. Perry Fardella, PT, ATC, CSCS is a Physical Therapist in Private Practice in Jacksonville, Florida. Qualified in 2001, 25 years ago. Practices with Mayo Clinic Jacksonville, a 1,581-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
25
Licensed in
FL
In the registry since
2007
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

4500 San Pablo Rd S
Jacksonville, FL 32224-1865
Phone: (904) 953-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1797 Old Moultrie Rd, St Augustine, FL 32084-4171 — (904) 824-7772

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT 19490 (FL)

Record details

NPI number1265658348
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , ATC , CSCS
Sole proprietorYes
NPI enumeratedApril 18, 2007
Last updated in NPPESJanuary 25, 2021
Certification dateJanuary 25, 2021

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice Mayo Clinic Jacksonville — 1581 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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