Individual provider · Type 1 NPI
Iman Lewis, PTA
Physical Therapy Assistant · Fort Walton Beach, FL
Practice location
661 Randall Roberts Rd
Fort Walton Beach, FL 32547-4943
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Therapy Assistant Primary | 225200000X | 34110 (FL) |
| Physical Therapy Assistant | 225200000X | PTA005280 (GA) |
Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …
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About NPI 1053136606
Iman Lewis, PTA's National Provider Identifier is 1053136606, issued on Nov 19, 2024. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Fort Walton Beach, FL. The record was last updated on Oct 19, 2025.