Individual ProviderJustin BialoskyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address3901 University Blvd S, Jacksonville, FL 32216-4312(904) 345-7310PECOS EnrollmentBased on the most recent information from CMS, provider Justin Bialosky does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 6 days ago.Profile DetailsProvider ID1063169142Provider TypeIndividualFull NameBialosky, JustinTitleDr.CredentialPT, DPT, MSGenderMaleSole ProprietorNoEnumeration Date3/8/2022Last Updated3/8/2022Contact InformationPractice LocationPractice Address3901 University Blvd S, Jacksonville, FL 32216-4312Phone(904) 345-7310FaxUnlisted FaxMailing LocationMailing Address3901 University Blvd S, Jacksonville, FL 32216-4312PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicensePT38488Florida