Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Renee Michelle Federico, PT

Individual provider Physical Therapist · NPI 1194735654

Mrs. Renee Michelle Federico, PT is a Physical Therapist in Jacksonville, Florida. Licensed in Florida and New York. Registered with an NPI since 2006.

Licensed in
FL, NY
In the registry since
2006
Specialties on file
2
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

8855 San Jose Blvd
Jacksonville, FL 32217-4244
Phone: (904) 448-8191
Fax: (904) 448-8855
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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 PT 23898 (FL)
Physical Therapist Taxonomy 225100000X · Licence 018765-1 (NY)

Record details

NPI number1194735654
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedAugust 8, 2006
Last updated in NPPESJune 20, 2008

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