OrganizationActive
Tailored Physical Therapy LLC
NPI 1134897374 · Physical Therapy Clinic/Center · Jacksonville, FL
Provider details
- NPI number
- 1134897374
- Entity type
- Organization
- Primary specialty
- Physical Therapy Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Stephanie Nierenberg, PT Owner(904) 859-8103
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4034 Schirra Dr
Jacksonville, FL 32277-1727
Phone: (904) 859-8103
Street-level locationGet directions
Mailing address
4034 Schirra Dr
Jacksonville, FL 32277-1727
Other names (DBA / former)
- Doing business as
- Tailored Physical Therapy and Wellness
Registry dates
- Enumerated
- 2021-09-02
- Last updated
- 2021-09-02
- Certified
- 2021-09-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.