Organization Active NPI

Smart Body Physical Therapy Inc

  • Physical Therapy Clinic/Center
  • Jacksonville, FL
National Provider Identifier
1255508008
Registry record updated Jun 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
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

Updated by the provider on Jun 2, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Laura BunsoNPI 1053502393
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)CodeLicenseStatePrimary
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 Therapy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.