Emil Mitchell Azzam, DPT
Physical Therapist · Jacksonville, FL
At a glance
2627 Riverside Ave Ste 300, Jacksonville, FL 32204-4717
NPPES record updated May 13, 2025. Public records can lag behind changes at a practice.
Before you call: a quick checklist
- Are you accepting new patients?
- Do you accept my specific insurance plan?
- Do you provide the service I need at this address?
- Do I need a referral, and what is the earliest appointment?
Insurance participation and appointment availability are not established by these public records.
Medicare & insurance
Insurance participation is not established by these public records. Ask the practice and your insurer about your specific plan and this location.
How to check your coverage
Use your plan’s provider directory or the member-services number on your insurance card. Confirm the clinician, practice address, service, and whether a referral is required. A missing opt-out record does not establish Medicare acceptance.
Check the official Medicare directory ↗Practice location
2627 Riverside Ave Ste 300Jacksonville, FL 32204-4717
Additional reported practice locations
232 Ponte Vedra Park DrPonte Vedra Beach, FL 320826600
Phone: 9046340640
Fax: 9046340203 2300 Park Ave Ste 206
Orange Park, FL 320735573
Phone: 9046340640
Fax: 9046340203 4268 Oldfield Crossing Dr Ste 201
Jacksonville, FL 322238800
Phone: 9046340640
Fax: 9046340203 1690 Us Highway 1 S Ste F
St Augustine, FL 320846024
Phone: 9046340640
Fax: 9046340203 10475 Centurion Pkwy N Ste 220
Jacksonville, FL 322565004
Phone: 9046340640
Fax: 9046340203
Education & affiliations
- Medical / professional school
- Not reported in this file
- Graduation year
- 2024
- CMS specialties
- Physical Therapist In Private Practice
Practice groups
Graduation year does not establish years in practice. A reported affiliation does not establish employment, current admitting privileges, or insurance participation.
Source: CMS National Downloadable File · Published Oct 15, 2026.
Procedures in the public data
Reported activity can help you ask more informed questions about a practice’s services.
No displayed procedure-category record in this release. This does not mean the clinician performs no procedures.
CMS uses a one-year claims window with a reporting lag. Counts cover the Medicare activity included by CMS, not all patients. “1–10” is a published range. Volume is not a quality or outcomes score. Coverage and methodology
Source: CMS Utilization Data · Published Oct 15, 2026.
Find providers with a similar service mix
Compare 2024 published Medicare activity in the same reported specialty, here or in another city.
Industry-reported general payments
No matching general-payment summary in the imported release. This is not a verified zero and does not rule out other payment types or years.
Source: CMS 2025 payments grouped by covered recipient and nature of payments · Published Jun 30, 2026.
Professional details: NPI, taxonomy & registry record
Registry details
- Primary taxonomy
- Physical Therapist
- Taxonomy code
- 225100000X
- Enumeration date
- Jan 14, 2019
- Record updated
- May 13, 2025
More registry details
- Provider type
- Individual · Type 1
- Reported credentials
- DPT
Reported taxonomies and licenses
2255A2300X
225100000X · Primary
License reported: PT42105 FL
License numbers and credentials are reported to NPPES; HCPList does not independently verify them.
Practice location
2627 Riverside Ave Ste 300Jacksonville, FL 32204-4717
- Phone
- (904) 634-0640
- Fax
- (904) 634-0203
Mailing address
6800 SOUTHPOINT PKWY STE 300JACKSONVILLE, FL 322168203
Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.
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