Jade Kimberly Centurion, PT, DPT – Physical Therapist

Key facts

NPI: 1831732379
Entity type: Individual (NPI type 1)
Primary specialty: Physical Therapist 225100000X
License: PT35301 (FL)
Practice address: 463646 State Road 200 Ste 4
Yulee, FL 32097-0303
Phone: (904) 261-4414
Fax: (904) 261-4614
NPI assigned: Oct 28, 2019
Sex: Female
Sole proprietor: No

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.

Advance Rehabilitation & Consulting Limited Partnership Durable Medical Equipment & Medical Supplies · Jasper, GA · NPI 1164115671

NPD (past) PHYSICAL THERAPIST
Advance Rehabilitation & Consulting Limited Partnership Physical Therapist · Saint Marys, GA · NPI 1235434283

NPD (past) PHYSICAL THERAPIST

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
PT35301	FL	MD	Physical Therapist

Practice roles

Organization	Specialty	Status	New patients
Advance Rehabilitation & Consulting Limited Partnership	Physical Therapist	Past since Aug 7, 2022	Accepting new patients
Advance Rehabilitation & Consulting Limited Partnership	Physical Therapist	Past since Mar 9, 2015	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Physical Therapist	225100000X	PT35301	FL	Yes

Addresses

Primary practice location

463646 State Road 200 Ste 4
Yulee, FL 32097-0303

Mailing address

12337 Wynnfield Lakes Dr Unit 524
Jacksonville, FL 32246-4253
Phone (407) 575-4857

Other practice location 1

340 16th Ave N Ste B
Jacksonville Beach, FL 32250-4819
Phone (904) 249-8893

Other practice location 2

450077 State Road 200 Ste 9
Callahan, FL 32011-3863
Phone (904) 872-2004

Other practice location 3

1897 Island Walk Way Ste 5
Fernandina Beach, FL 32034-1949
Phone (904) 261-4664

Other providers in Yulee, FL

Kaleigh Alexandria Campbell, M.S. CF-SLP
Allison Carter
Allison Nicole Carter
Richard Castellani
Jamie Catlett
Latavia Challenger, CNA
James Daniel Chamberlain, O.D.
Changing Lives Family Care Florida
Ashley Chaplinski
Avery Camille Chisholm, MD

All providers in Yulee, FL · Physical Therapist in Florida

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 1, 2022. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.