Individual provider Active NPI

Ann Kenyon

  • Physical Therapy Assistant
  • Jacksonville, FL
National Provider Identifier
1285504191
Registry record updated Nov 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
PTA34396 Issued in FL
Practice address
4776 Hodges Blvd Ste 101
Jacksonville, FL 32224-7218
Phone
(904) 223-2363
NPI assigned
Nov 6, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X PTA34396 FL Primary

Addresses

Primary practice location

4776 Hodges Blvd Ste 101
Jacksonville, FL 32224-7218

Mailing address

13505 Citicards Way Unit 4314
Jacksonville, FL 32258-6539
Phone (540) 705-5406

Other practice location 1

559 W Twincourt Trl Unit 610
St Augustine, FL 32095-8805
Phone (904) 671-0255 ext. 55406

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PTA34396FLMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
In Motion Physical Therapy LLC PastSince Nov 9, 2025 Accepting new patients
In Motion Physical Therapy LLC PastSince Nov 5, 2023 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1762387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762387200000",
    "number": "1285504191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13505 CITICARDS WAY UNIT 4314",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322586539",
            "telephone_number": "540-705-5406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4776 HODGES BLVD STE 101",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322247218",
            "telephone_number": "904-223-2363"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "559 W Twincourt Trl Unit 610",
            "address_purpose": "LOCATION",
            "city": "St Augustine",
            "state": "FL",
            "postal_code": "320958805",
            "country_code": "US",
            "telephone_number": "904-671-0255 x55406",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KENYON",
        "first_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-11-06",
        "last_updated": "2025-11-06",
        "certification_date": "2025-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA34396",
            "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 Nov 6, 2025; 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.