Individual provider · Type 1 NPI
Ryan Baksh, PTA
Physical Therapy Assistant · Port St. Lucie, FL
Practice location
10560 SW Village Pkwy
Port St. Lucie, FL 34987-2359
Mailing address
1116 SW Lawndale Ave
Port St. Lucie, FL 34953-7714
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Therapy Assistant Primary | 225200000X | PTA33562 (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 1104760065
Ryan Baksh, PTA's National Provider Identifier is 1104760065, issued on Apr 20, 2026. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Port St. Lucie, FL. The record was last updated on Apr 20, 2026.