Active NPI
Smart Body Physical Therapy Inc
- Physical Therapy Clinic/Center
- Jacksonville, FL
National Provider Identifier
1255508008
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- Legal business name
- SMART BODY PHYSICAL THERAPY INC
- Practice address
- 12421 San Jose Blvd Ste 100a
Jacksonville, FL 32223-2680 - Phone
- (904) 296-4140
- Fax
- (904) 279-0963
- NPI assigned
- May 12, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Laura Bunso
- Title
- President
- Phone
- (904) 382-3804
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | Primary |
Addresses
Primary practice location
12421 San Jose Blvd Ste 100a
Jacksonville, FL 32223-2680
Mailing address
10950 60 San Jose Blvd196
Jacksonville, FL 32223-7358
Phone (904) 296-4140
National Provider Directory
National Provider Directory- Tax ID family
- Smart Body Physical Therapy
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Physical Therapist
- Jacksonville, FL
- NPI 1396767018
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Jacksonville, FL
- NPI 1053502393
-
- Physical Therapist
- Orange Park, FL
- NPI 1629274071
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210550400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1780358400000",
"number": "1255508008",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10950 60 SAN JOSE BLVD196",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322237358",
"telephone_number": "904-296-4140",
"fax_number": "904-279-0963"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12421 SAN JOSE BLVD STE 100A",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322232680",
"telephone_number": "904-296-4140",
"fax_number": "904-279-0963"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SMART BODY PHYSICAL THERAPY INC",
"organizational_subpart": "NO",
"enumeration_date": "2008-05-12",
"last_updated": "2026-06-02",
"certification_date": "2026-06-02",
"status": "A",
"authorized_official_last_name": "BUNSO",
"authorized_official_first_name": "LAURA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "904-382-3804"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.