Active NPI
Jarrett Dutton
- Physical Therapist
- Tampa, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT43495
- Practice address
- 3500 E Fletcher Ave Ste 100
Tampa, FL 33613-4701 - Phone
- (813) 974-8406
- NPI assigned
- May 8, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT43495 | FL | Primary |
Addresses
Primary practice location
3500 E Fletcher Ave Ste 100
Tampa, FL 33613-4701
Mailing address
PO Box 917770
Orlando, FL 32891-0001
Phone (813) 821-8038
Other practice location 1
2125 Sleepy Hill Rd
Lakeland, FL 33810-3566
Phone (863) 267-9622
Other practice location 2
3030 Harden Blvd
Lakeland, FL 33803-7952
Phone (863) 284-5000
Other practice location 3
12530 USF Bull Run Drive
none
Tampa, FL 33617
Phone (813) 974-2331
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 128047900 | Medicaid | FL | |
| Y911W | Other | FL | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3500 E Fletcher Ave
Suite 100
Tampa, FL 33613-4701
Phone (813) 821-8038
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Medical Service Association Inc | Physical Therapist | Current | Accepting new patients |
| University Medical Service Association Inc | Current | Accepting new patients | |
| Tampa General Hospital | Current | Accepting new patients | |
| Lakeland Regional Medical Center, Inc. | Past | Accepting new patients |
Locations
3500 E Fletcher Ave
Ste 100
Tampa, FL 33613
Phone (813) 282-8520
13330 Usf Laurel Dr
Fl 3
Tampa, FL 33612
Phone (813) 396-9422
12901 Bruce B Downs Blvd
#62
Tampa, FL 33612
Networks
- Freedom Health HMO Network
Interoperability endpoints
- jdutton274052@direct.tgh.org
- https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Tampa, FL
- NPI 1992742324
-
- General Acute Care Hospital
- Tampa, FL
- NPI 1124558929
-
- Durable Medical Equipment & Medical Supplies
- Tampa, FL
- NPI 1194276576
-
- General Acute Care Hospital
- Lakeland, FL
- NPI 1144228446
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1746662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1763337600000",
"number": "1023808557",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 917770",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328910001",
"telephone_number": "813-821-8038"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3500 E FLETCHER AVE STE 100",
"city": "TAMPA",
"state": "FL",
"postal_code": "336134701",
"telephone_number": "813-974-8406"
}
],
"practiceLocations": [
{
"address_1": "2125 Sleepy Hill Rd",
"address_purpose": "LOCATION",
"city": "Lakeland",
"state": "FL",
"postal_code": "338103566",
"country_code": "US",
"telephone_number": "863-267-9622",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3030 Harden Blvd",
"address_purpose": "LOCATION",
"city": "Lakeland",
"state": "FL",
"postal_code": "338037952",
"country_code": "US",
"telephone_number": "863-284-5000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "12530 USF Bull Run Drive",
"address_2": "none",
"address_purpose": "LOCATION",
"city": "Tampa",
"state": "FL",
"postal_code": "33617",
"country_code": "US",
"telephone_number": "813-974-2331",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DUTTON",
"first_name": "JARRETT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-05-08",
"last_updated": "2025-11-17",
"certification_date": "2025-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT43495",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "128047900",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "Y911W",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.