NPIMap

Organization Active NPI

Physical Therapy & Rehabilitation Clinic Inc

  • Physical Therapy Clinic/Center
  • Orange Park, FL
National Provider Identifier
1386618064
Registry record updated May 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
PHYSICAL THERAPY & REHABILITATION CLINIC INC
Practice address
2140 Kingsley Ave
Suite 5
Orange Park, FL 32073-5180
Phone
(904) 272-2830
Fax
(904) 272-8814
NPI assigned
Feb 17, 2006
Last updated
May 4, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2026

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

Authorized official

Name
Mr. Justin C Weldon, MS,PTNPI 1548235914
Title
Vice-President
Phone
(904) 272-2830

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X FL Primary

Addresses

Primary practice location

2140 Kingsley Ave
Suite 5
Orange Park, FL 32073-5180

Mailing address

2140 Kingsley Ave
Suite 5
Orange Park, FL 32073-5180
Phone (904) 272-2830

Other practice location 1

30 Tavernier Dr Ste A
Ponte Vedra, FL 32081-1270
Phone (904) 686-9929

Other practice location 2

2520 Commercial Dr Ste C
Starke, FL 32091-7860
Phone (904) 368-1257

Other practice location 3

1835 Eastwest Pkwy Ste 16
Fleming Island, FL 32003-5311
Phone (904) 215-3958

Other practice location 4

3470 Royal Pines Dr
Suite 101
Middleburg, FL 32068-8459
Phone (904) 214-3313

Other practice location 5

13595 Atlantic Blvd Ste B
Jacksonville, FL 32225-3256
Phone (904) 221-4046

Other practice location 6

4205 Belfort Rd Ste 1004
Jacksonville, FL 32216-5876
Phone (904) 661-1183

Other identifiers 3

IdentifierTypeStateIssuer
022381502MedicaidFL
022381500MedicaidFL
022381503MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040918000193 FL Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services 8325941768 Practice locations: Orange Park, FL; Starke, FL; Ponte Vedra, FL; Middleburg, FL; Jacksonville, FL; Fleming Island, FL

National Provider Directory

National Provider Directory
Tax ID family
Physical Therapy and Rehabiitation Clinic Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

4205 Belfort Rd
Ste 1004
Jacksonville, FL 32216
Phone (904) 661-1183

1835 Eastwest Pkwy
Ste 16
Orange Park, FL 32003
Phone (904) 215-3958

Practitioners & affiliated clinicians

Practitioners 17

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1140134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777852800000",
    "number": "1386618064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2140 KINGSLEY AVE",
            "address_2": "SUITE 5",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320735180",
            "telephone_number": "904-272-2830",
            "fax_number": "904-272-8814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2140 KINGSLEY AVE",
            "address_2": "SUITE 5",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320735180",
            "telephone_number": "904-272-2830",
            "fax_number": "904-272-8814"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30 Tavernier Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "Ponte Vedra",
            "state": "FL",
            "postal_code": "320811270",
            "country_code": "US",
            "telephone_number": "904-686-9929",
            "fax_number": "904-686-9935",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2520 Commercial Dr Ste C",
            "address_purpose": "LOCATION",
            "city": "Starke",
            "state": "FL",
            "postal_code": "320917860",
            "country_code": "US",
            "telephone_number": "904-368-1257",
            "fax_number": "904-368-1258",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1835 Eastwest Pkwy Ste 16",
            "address_purpose": "LOCATION",
            "city": "Fleming Island",
            "state": "FL",
            "postal_code": "320035311",
            "country_code": "US",
            "telephone_number": "904-215-3958",
            "fax_number": "904-215-3970",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3470 Royal Pines Dr",
            "address_2": "Suite 101",
            "address_purpose": "LOCATION",
            "city": "Middleburg",
            "state": "FL",
            "postal_code": "320688459",
            "country_code": "US",
            "telephone_number": "904-214-3313",
            "fax_number": "904-406-0913",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13595 Atlantic Blvd Ste B",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322253256",
            "country_code": "US",
            "telephone_number": "904-221-4046",
            "fax_number": "904-221-4056",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4205 Belfort Rd Ste 1004",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322165876",
            "country_code": "US",
            "telephone_number": "904-661-1183",
            "fax_number": "904-661-1154",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PHYSICAL THERAPY & REHABILITATION CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-17",
        "last_updated": "2026-05-04",
        "certification_date": "2026-05-04",
        "status": "A",
        "authorized_official_last_name": "WELDON",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "VICE-PRESIDENT",
        "authorized_official_telephone_number": "904-272-2830",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MS,PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "022381502",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "022381500",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "022381503",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.