EMIL MITCHELL AZZAM DPT
NPI 1871067884
Physical Therapist in Jacksonville, FL

Active since January 14, 2019Accepts Medicare Assignment
2627 RIVERSIDE AVE STE 300, JACKSONVILLE, FL 32204(904) 634-0640(904) 634-0203 Get Directions Write a Review

NPPES record last updated: May 13, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 13, 2025, Aug 8, 2024, Jan 14, 2019 (3 updates tracked since 2019).

About Emil Mitchell Azzam Dpt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EMIL MITCHELL AZZAM DPT (NPI 1871067884) is an individual physical therapist in Jacksonville, Florida, licensed in Florida (PT42105) and active in the NPI registry since January 2019. He maintains 5 additional practice locations and is a graduate of Other (2024).

NPPES Registry Identity

NPI1871067884
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameEMIL MITCHELL AZZAMCredential: DPT
Location Address2627 RIVERSIDE AVE STE 300Jacksonville, FL 32204-4717
Mailing Address6800 Southpoint Pkwy Ste 300Jacksonville, FL 32216-8203 · (904) 634-0640 · Fax (904) 634-0203
Fax(904) 634-0203
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJanuary 14, 2019
Last NPPES UpdateMay 13, 20253 updates tracked since enumeration
NPPES CertifiedMay 13, 2025
NPI 1871067884 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License Licensed in FL · PT42105
Definition
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, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
Also ListedSpecialist/Technologist · Athletic TrainerTaxonomy 2255A2300X
2627 RIVERSIDE AVE STE 300, Jacksonville, FL 32204

Secondary Practice Locations 5

Location 1232 Ponte Vedra Park DrPonte Vedra Beach, FL 32082-6600 · Phone (904) 634-0640 · Fax (904) 634-0203
Location 22300 Park Ave Ste 206Orange Park, FL 32073-5573 · Phone (904) 634-0640 · Fax (904) 634-0203
Location 34268 Oldfield Crossing Dr Ste 201Jacksonville, FL 32223-8800 · Phone (904) 634-0640 · Fax (904) 634-0203
Location 41690 US Highway 1 S Ste FSt Augustine, FL 32084-6024 · Phone (904) 634-0640 · Fax (904) 634-0203
Location 510475 Centurion Pkwy N Ste 220Jacksonville, FL 32256-5004 · Phone (904) 634-0640 · Fax (904) 634-0203

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Emil Mitchell Azzam Dpt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7719426758
PECOS Enrollment IDI20240822001431

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110
This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.
325 services32 patients
Therapy procedure using manual technique, each 15 minutes 97140
This therapy involves using hands-on techniques to help improve your body's movement and function. These techniques may include stretching, resistance exercises, or gentle pressure. Each session lasts 15 minutes and aims to relieve pain, promote healing, and improve your overall health.
84 services19 patients
Evaluation for physical therapy, typically 20 minutes 97161
An evaluation for physical therapy is a short, 20-minute assessment where your physical condition, mobility, and pain levels are examined. This helps in designing a personalized therapy plan to enhance your physical function and well-being.
19 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32204 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
2627 RIVERSIDE AVE STE 300
JACKSONVILLE, FL 32204
Physical Therapist
2627 RIVERSIDE AVE STE 300
JACKSONVILLE, FL 32204
Physical Therapist
2627 RIVERSIDE AVE STE 300
JACKSONVILLE, FL 32204
Orthopaedic Surgery
2627 RIVERSIDE AVE STE 300
JACKSONVILLE, FL 32204
Physician Assistant
2627 RIVERSIDE AVE STE 300
JACKSONVILLE, FL 32204
Physician Assistant
2627 RIVERSIDE AVE STE 300
JACKSONVILLE, FL 32204
Physician Assistant
2627 RIVERSIDE AVE STE 300
JACKSONVILLE, FL 32204
Pain Medicine (Interventional Pain Medicine)
2627 RIVERSIDE AVE STE 300
JACKSONVILLE, FL 32204

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Emil Azzam's NPI number?

The NPI number for Emil Azzam is 1871067884. It was assigned to this individual provider in the NPPES registry on January 14, 2019.

Where is Emil Azzam located?

Emil Azzam practices at 2627 Riverside Ave Ste 300, Jacksonville, FL 32204. The listed phone number is (904) 634-0640.

What is Emil Azzam's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Emil Azzam enrolled in Medicare?

Yes. Emil Azzam is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Emil Azzam accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama and AvMed list Emil Azzam as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Emil Azzam was last updated on May 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.