OrganizationActive
Physiatry Consults of Jacksonville. LLC
NPI 1437637402 · Physical Medicine & Rehabilitation Physician · Jacksonville, FL
Provider details
- NPI number
- 1437637402
- Entity type
- Organization
- Primary specialty
- Physical Medicine & Rehabilitation PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Natalya Bulaeva, Mgr(904) 860-1123
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(67/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 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
1750 Stockton St
Jacksonville, FL 32204-4664
Phone: (190) 486-0112
Street-level locationGet directions
Mailing address
836 Baytree Ln
Ponte Vedra Beach, FL 32082-4162
Registry dates
- Enumerated
- 2018-08-01
- Last updated
- 2018-08-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.