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Jacksonville Orthopaedic Institute Inc

Physical Therapist in Fernandina Beach, FL · enumerated 2016 · authorized official Timothy Wall, Administrator.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1942660212

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Registry record

Entity type Organization (Type 2)
Legal business name Jacksonville Orthopaedic Institute Inc
Practice address 1348 S 18th St, Suite 320a, Fernandina Beach, FL, 32034
Phone (904) 557-9021
Fax (904) 557-9022
Enumeration date Mar 1, 2016
Last updated in NPPES Jan 8, 2019

Taxonomy & classification

225100000X Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers Primary
225X00000X Occupational Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers Secondary

Authorized official

Name Timothy Wall
Title Administrator
Phone (904) 858-7045

Other identifiers

Identifier Type State Issuer
CC4257 Other FL RR MEDICARE

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is Jacksonville Orthopaedic Institute Inc located?
The practice location on file with NPPES is in Fernandina Beach, FL.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2019-01-08. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2019-01-08.