Individual provider · Type 1 NPI

Jeremy Douglas, PTA

Physical Therapy Assistant · Gainesville, FL

NPI number 1174281828 Active

Practice location

4842 SW Archer Rd
Gainesville, FL 32608-3813

Fax (352) 382-1146

Mailing address

8477 S Suncoast Blvd
Homosassa, FL 34446-5028

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000XPTA27275 (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 1174281828

Jeremy Douglas, PTA's National Provider Identifier is 1174281828, issued on Nov 30, 2021. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Gainesville, FL. The record was last updated on Nov 30, 2021.