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

Stanislava Medigovik, DPT

Individual provider Physical Therapist · NPI 1316265804

Stanislava Medigovik, DPT is a Physical Therapist in Private Practice in Jacksonville, Florida. Qualified in 2009, 17 years ago. Practices with Proliance Surgeons Inc P S, a 394-clinician group and accepts Medicare assignment. Licensed in Florida and Washington.

Years since qualifying
17
Licensed in
FL, WA
In the registry since
2010
Specialties on file
2
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

1045 Riverside Ave Ste 190
Jacksonville, FL 32204-4189
Phone: (904) 647-4284
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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 41824 (FL)
Physical Therapist Taxonomy 225100000X · Licence PT60571720 (WA)

Record details

NPI number1316265804
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedMay 10, 2010
Last updated in NPPESJune 15, 2026
Certification dateJune 15, 2026

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Proliance Surgeons Inc P S — 394 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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