Individual provider · Type 1 NPI

Thomas Elledge Jr., PTA

Physical Therapy Assistant · Orange Park, FL

NPI number 1124651922 Active

Practice location

1701 Park Ave
Orange Park, FL 32073-4900

Call (904) 278-1200 Map

Mailing address

8477 S Suncoast Blvd
Homosassa, FL 34446-5028

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000XPTA28999 (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 1124651922

Thomas Elledge Jr., PTA's National Provider Identifier is 1124651922, issued on Feb 20, 2020. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Orange Park, FL. The record was last updated on Feb 20, 2020.