Active NPI
Smart Body Physical Therapy Inc
- Physical Therapist
- Jacksonville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- 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
- Jul 24, 2006
- Last updated
- Aug 20, 2026
- 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, PT
- 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 Therapist | 225100000X | Primary |
Addresses
Primary practice location
12421 San Jose Blvd Ste 100a
Jacksonville, FL 32223-2680
Mailing address
10950 60 San Jose Blvd 196
Jacksonville, FL 32223
Phone (904) 296-4140
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
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 Therapy Clinic/Center
- Jacksonville, FL
- NPI 1255508008
Locations
6885 Belfort Oaks Pl
Ste 305
Jacksonville, FL 32216
Phone (904) 296-4140
10950 San Jose Blvd
#196
Jacksonville, FL 32223
12421 San Jose Blvd
Ste 100A
Jacksonville, FL 32223
Phone (904) 296-4140
6639 Southpoint Pkwy
Ste 103
Jacksonville, FL 32216
Phone (904) 296-4140
Practitioners & affiliated clinicians
Practitioners 15
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.
-
- Physical Therapist
- Jacksonville, FL
- NPI 1053502393
-
- Occupational Therapist
- Jacksonville, FL
- NPI 1558250696
-
- Physical Therapist
- Jacksonville, FL
- NPI 1083580203
-
- Orthopedic Physical Therapist
- Jacksonville, FL
- NPI 1063992030
-
- Physical Therapist
- Jacksonville, FL
- NPI 1679838882
-
- Occupational Therapist
- Jacksonville, FL
- NPI 1982094751
-
- Physical Therapist
- Jacksonville, FL
- NPI 1679273247
-
- Physical Therapist
- Jacksonville, FL
- NPI 1609133503
-
- Physical Therapy Assistant
- Jacksonville, FL
- NPI 1750719639
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153699200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1787184000000",
"number": "1396767018",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10950 60 SAN JOSE BLVD 196",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "32223",
"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": "2006-07-24",
"last_updated": "2026-08-20",
"certification_date": "2026-08-20",
"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",
"authorized_official_credential": "PT"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"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 Aug 20, 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.