OrganizationActive
Five Star Physical Therapy
NPI 1225420623 · Physical Medicine & Rehabilitation Physician · Ponte Vedra, FL
Provider details
- NPI number
- 1225420623
- Entity type
- Organization
- Primary specialty
- Physical Medicine & Rehabilitation PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Melissa Roberson, Office Manager(904) 280-3440
- License
- PT30070 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(74/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 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
236 Ponte Vedra Park Dr
Suite 300
Ponte Vedra, FL 32082-6619
Phone: (904) 280-3440
Fax: (904) 280-3444
Street-level locationGet directions
Mailing address
236 Ponte Vedra Park Dr
Ponte Vedra, FL 32082-6619
Registry dates
- Enumerated
- 2015-02-23
- Last updated
- 2015-02-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.