Shelby Fuentes, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

37408 Issued in FL

Practice address

11705 San Jose Blvd Ste 111
Jacksonville, FL 32223-1653

Phone

(904) 345-7450

NPI assigned

Aug 30, 2017

Last updated

Nov 30, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in SC, TX, FL3 enrollments

Enrollment records 3

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Genesis Health Development Inc

  dba Brooks Rehab Center/Low Vision

  • Rehabilitation Clinic/Center
  • Jacksonville, FL
  • NPI 1033154992

  Multi-Specialty

  Medicare reassignment NPD
• Carolina Physical Therapy and Sports Medicine Limited Partnership

  • Physical Therapist
  • Columbia, SC
  • NPI 1487180881

  Multi-Specialty

  Medicare reassignment NPD
• Genesis Health Development, Inc.

  dba Brooks Health Development

  • Rehabilitation Clinic/Center
  • Clermont, FL
  • NPI 1528707379
  NPD
• Carolina Physical Therapy and Sports Medicine, Inc.

  • Physical Medicine & Rehabilitation Physician
  • Columbia, SC
  • NPI 1952491490

  Multi-Specialty

  NPD
• E&C Legacy Group, Inc.

  dba FYZICAL Therapy & Balance Centers

  • Physical Therapy Clinic/Center
  • San Antonio, TX
  • NPI 1942908843

  Physical Therapist

  NPD
• PSC Fyz Dez, LLC

  • Physical Therapist
  • San Antonio, TX
  • NPI 1073401733
  NPD
• Genesis Rehabilitation Hospital, Inc.

  dba Brooks Rehabilitation Hospital Bartram Campus

  • Rehabilitation Hospital
  • Jacksonville, FL
  • NPI 1376114413

  Multi-Specialty

  NPD (past)
• Genesis Rehabilitation Hospital, Inc.

  dba Brooks Rehabilitation

  • Rehabilitation Hospital
  • Jacksonville, FL
  • NPI 1912947748

  Multi-Specialty

  NPD (past)

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

{
    "created_epoch": "1504051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701302400000",
    "number": "1457879371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11261 SHADY GLEN DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32257",
            "telephone_number": "585-451-8733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11705 SAN JOSE BLVD STE 111",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322231653",
            "telephone_number": "904-345-7450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUENTES",
        "first_name": "SHELBY",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-30",
        "last_updated": "2023-11-30",
        "certification_date": "2023-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "9654",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1386162",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "37408",
            "primary": true
        },
        {
            "code": "2251N0400X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Neurology",
            "state": "NY",
            "license": "041958-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karina Fuentes-Guillemyn, M.D.
• Aura S Fuentes, M.D.
• Eileen P Fuentes, APRN
• Jennifer Fuentes, ARNP
• Monique F Fuentes, PT
• Erica B Fulcar Made
• Christopher Fulcher
• Mary Alice Fulghum, LMFT, L.P.C.
• Paul Fulghum, OD PA
• Full Circle Birth Center

• Physical Therapist in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2023; 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.