Individual provider · Type 1 NPI

Coleman R. Stark

Physical Therapist · Orange Park, FL

NPI number 1659295772 Active

Practice location

794 Blanding Blvd
Orange Park, FL 32065-5721

Fax (904) 203-1888

Mailing address

1370 Lakewood Ln
Fleming Island, FL 32003-9013

Specialties and licenses

TaxonomyCodeLicense
Physical Therapist Primary 225100000X44932 (FL)

Physical Therapist: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, r…

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About NPI 1659295772

Coleman R. Stark's National Provider Identifier is 1659295772, issued on Aug 10, 2026. The primary taxonomy on file is Physical Therapist (225100000X), and the practice location is in Orange Park, FL. The record was last updated on Aug 10, 2026.