Individual provider · Type 1 NPI

Evan Ivory Gordy, PTA

Physical Therapy Assistant · St. Petersburg, FL

NPI number 1083371371 Active

Practice location

10300 4th St N
St. Petersburg, FL 33716-3813

Call (727) 568-1000 Map

Mailing address

10624 Cory Lake Dr
Tampa, FL 33647-2995

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000XPTA31629 (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 1083371371

Evan Ivory Gordy, PTA's National Provider Identifier is 1083371371, issued on Nov 21, 2021. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in St. Petersburg, FL. The record was last updated on Nov 21, 2021.