IndividualActive
Eamon Donovan, PTA
NPI 1194065243 · Physical Therapy Assistant · Fernandina Beach, FL
Provider details
- NPI number
- 1194065243
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PTA
- Sex
- Male
- Sole proprietor
- No
- License
- PTA23858 (FL)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Detailed profile(78/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 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
1897 Island Walk Way
Unit 5
Fernandina Beach, FL 32034-1948
Phone: (904) 261-4664
Fax: (904) 261-5852
Street-level locationGet directions
Mailing address
Po Box 949
Rome, GA 30162-0949
Registry dates
- Enumerated
- 2013-02-27
- Last updated
- 2013-02-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.