IndividualActive
Staci Gullman, PTA
NPI 1659517951 · Physical Therapy Assistant · Jacksonville, FL
Provider details
- NPI number
- 1659517951
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PTA
- Sex
- Female
- Sole proprietor
- No
- License
- PTA21464 (FL)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Detailed profile(86/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 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
8087 Normandy Blvd
Jacksonville, FL 32221-6646
Phone: (904) 781-5666
Fax: (904) 781-8191
Street-level locationGet directions
Mailing address
144 Nottingham Dr E
Saint Johns, FL 32259-7904
Registry dates
- Enumerated
- 2008-12-17
- Last updated
- 2008-12-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.