Individual provider · Type 1 NPI

Stacey Gill, LPTA

Physical Therapy Assistant · New Smyrna Beach, FL

NPI number 1205290780 Active

Practice location

916 N Dixie Fwy
New Smyrna Beach, FL 32168-6220

Mailing address

2447 Old Samsula Rd
Port Orange, FL 32128-6538

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000XPTA9249 (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 1205290780

Stacey Gill, LPTA's National Provider Identifier is 1205290780, issued on Apr 11, 2016. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in New Smyrna Beach, FL. The record was last updated on Apr 11, 2016.