Individual provider · Type 1 NPI

David Gancedo, PTA

Physical Therapy Assistant · North Miami Beach, FL

NPI number 1063971778 Active

Practice location

2020 NE 163rd St Ste 207
North Miami Beach, FL 33162-4927

Mailing address

3718 NW 12th Ter
Miami, FL 33126-2617

Specialties and licenses

TaxonomyCodeLicense
Physical Medicine & Rehabilitation Physician 208100000XPTA29228 (FL)
Physical Therapy Assistant Primary 225200000XPTA28227 (FL)

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 1063971778

David Gancedo, PTA's National Provider Identifier is 1063971778, issued on Mar 13, 2019. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in North Miami Beach, FL. The record was last updated on Mar 13, 2019.