OrganizationActive
Judo Ryu Jacksonville, Inc
NPI 1982893509 · Physical Therapist · Atlantic Beach, FL
Provider details
- NPI number
- 1982893509
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Susan Manchester, Billing Agent(904) 777-5002
- License
- PT7180 (FL)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
1241 Mayport Rd
Atlantic Beach, FL 32233-3435
Phone: (904) 349-0990
Fax: (866) 737-1635
Street-level locationGet directions
Mailing address
691 Selva Lakes Cir
Atlantic Beach, FL 32233-7326
Other names (DBA / former)
- Doing business as
- Gentle Way Physical Therapy
Registry dates
- Enumerated
- 2007-10-19
- Last updated
- 2008-04-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.