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

Mr. Shiro Iwae, PT

Individual provider Physical Therapist · NPI 1407031750

Mr. Shiro Iwae, PT is a Physical Therapist in Jacksonville Beach, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2008
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

1401 Penman Rd Ste C
Jacksonville Beach, FL 32250
Phone: (904) 241-9500
Fax: (904) 241-2009
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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 PT10623 (FL)

Record details

NPI number1407031750
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorYes
NPI enumeratedJanuary 7, 2008
Last updated in NPPESJanuary 7, 2008

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