Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Judo Ryu Jacksonville, Inc

Physical Therapist in Atlantic Beach, FL · enumerated 2007 · authorized official Susan Manchester, Billing Agent.

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

National Provider Identifier

1982893509

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Registry record

Entity type Organization (Type 2)

Legal business name Judo Ryu Jacksonville, Inc

Other name <Unavail>

Practice address 1241 Mayport Rd, Atlantic Beach, FL, 32233

Phone (904) 349-0990

Fax (866) 737-1635

Enumeration date Oct 19, 2007

Last updated in NPPES Apr 20, 2008

Taxonomy & classification

225100000X Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers · License PT7180 (FL) Primary

Authorized official

Name Susan Manchester

Title Billing Agent

Phone (904) 777-5002

Other identifiers

Identifier	Type	State	Issuer
Y4214	Other	FL	BC/BS OF FLORIDA

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

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2008-04-20. Verify at npiregistry.cms.hhs.gov.

Where is Judo Ryu Jacksonville, Inc located?

The practice location on file with NPPES is in Atlantic Beach, FL.

Providers at this address

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John Fiege Physical Therapist · Atlantic Beach, FL NPI 1982698510

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-04-20.