Individual provider Active NPI

Valerie Brault

  • Physical Therapist
  • Jacksonville, FL
National Provider Identifier
1750208609
Registry record updated Jul 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTT44906 Issued in FL
Practice address
11705 San Jose Blvd Ste 111
Jacksonville, FL 32223-1653
Phone
(904) 345-7450
NPI assigned
Jul 1, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PTT44906 FL Primary

Addresses

Primary practice location

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

Mailing address

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

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

NPI Registry JSON

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

{
    "created_epoch": "1782864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782864000000",
    "number": "1750208609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11705 SAN JOSE BLVD STE 111",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322231653"
        },
        {
            "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": "BRAULT",
        "first_name": "VALERIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-07-01",
        "last_updated": "2026-07-01",
        "certification_date": "2026-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PTT44906",
            "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 Jul 1, 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.

Verify at the official NPI Registry.