Active NPI
Kevin Jones, DPT
- Sports Medicine (Physical Medicine & Rehabilitation) Physician
- Jacksonville, FL
National Provider Identifier
1639570336
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Physical Medicine & Rehabilitation) Physician
- License
- PT29558
- Practice address
- 8823 San Jose Blvd Ste 209
Jacksonville, FL 32217-4288 - Phone
- (904) 404-7044
- Fax
- (904) 329-2303
- NPI assigned
- Sep 12, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Physical Medicine & Rehabilitation) Physician | 2081S0010X | PT29558 | FL | Primary |
| Physical Therapist | 225100000X | PT359558 | FL |
Addresses
Primary practice location
8823 San Jose Blvd Ste 209
Jacksonville, FL 32217-4288
Mailing address
8823 San Jose Blvd Ste 209
Jacksonville, FL 32217-4288
Phone (904) 404-7044
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT359558 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier Rehab Management, LLC | Physical Therapist | Past | Accepting new patients |
| Universal Neurological Care PA | Past | 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.
-
- Physical Therapist
- Navarre, FL
- NPI 1821014390
-
- Neurology Physician
- Jacksonville, FL
- NPI 1508257692
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1410480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770854400000",
"number": "1639570336",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8823 SAN JOSE BLVD STE 209",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322174288",
"telephone_number": "904-404-7044",
"fax_number": "904-404-7044"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8823 SAN JOSE BLVD STE 209",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322174288",
"telephone_number": "904-404-7044",
"fax_number": "904-329-2303"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "KEVIN",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-09-12",
"last_updated": "2026-02-12",
"certification_date": "2026-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "2081S0010X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Sports Medicine",
"state": "FL",
"license": "PT29558",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT359558",
"primary": false
}
],
"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 Feb 12, 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.