Individual provider Active NPI

David Aaron Shelton, PT

  • Physical Therapist
  • Jacksonville, FL
National Provider Identifier
1962485656
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT2705 Issued in FL
Practice address
720 Saint Johns Bluff Rd N
Jacksonville, FL 32225-6704
Phone
(904) 646-1144
Fax
(904) 928-0039
NPI assigned
Nov 28, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 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 PT2705 FL Primary

Addresses

Primary practice location

720 Saint Johns Bluff Rd N
Jacksonville, FL 32225-6704

Mailing address

720 Saint Johns Bluff Rd N
Jacksonville, FL 32225-6704
Phone (904) 646-1144

Other identifiers 1

IdentifierTypeStateIssuer
Y2803OtherFLBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111214000864 FL Practitioner - Physical Therapist in Private Practice 0446205504 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Revive Rehab IncGroup PAC ID 8527197441, 7 clinicians

Practice addresses (Care Compare)

4745 Sutton Park CT
Suite 403
Jacksonville, FL 32224-0255
Phone (904) 371-4649

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Revive Rehab Inc Physical Therapist CurrentSince Aug 26, 2022 Accepting new patients
Atlantic Coast Physical Therapy Services LLC Physical Therapist PastSince Mar 1, 2020 Accepting new patients

Locations

4745 Sutton Park Ct
Ste 403
Jacksonville, FL 32224
Phone (904) 371-4649

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.

NPI Registry JSON

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

{
    "created_epoch": "1133136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1962485656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 SAINT JOHNS BLUFF RD N",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322256704",
            "telephone_number": "904-646-1144",
            "fax_number": "904-928-0039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 SAINT JOHNS BLUFF RD N",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322256704",
            "telephone_number": "904-646-1144",
            "fax_number": "904-928-0039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHELTON",
        "first_name": "DAVID",
        "middle_name": "AARON",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-28",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT2705",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "Y2803",
            "state": "FL"
        }
    ],
    "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 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.