IndividualActive
Jonathan Reed, PTA
NPI 1275644205 · Physical Therapy Assistant · Crescent City, FL
Provider details
- NPI number
- 1275644205
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PTA
- Sex
- Male
- Sole proprietor
- Yes
- License
- PTA20570 (FL)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
405 S Summit St
Crescent City, FL 32112-3047
Phone: (386) 698-4720
Fax: (386) 698-4866
Street-level locationGet directions
Mailing address
Po Box 1478
San Mateo, FL 32187-1478
Registry dates
- Enumerated
- 2006-08-31
- Last updated
- 2008-10-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.