Individual provider · Type 1 NPI

Michael Jessie Visita Roberts, PTA

Physical Therapy Assistant · Middleburg, FL

NPI number 1396264982 Active

Practice location

1648 St. Vincents Way, 100B
Middleburg, FL 32068

Call (904) 214-3083 Map

Mailing address

301 Scarlet Bugler Ln S
Jacksonville, FL 32225-3937

Specialties and licenses

Taxonomy	Code	License
Physical Therapy Assistant Primary	225200000X	PTA27840 (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 1396264982

Michael Jessie Visita Roberts, PTA's National Provider Identifier is 1396264982, issued on Sep 14, 2017. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Middleburg, FL. The record was last updated on Sep 14, 2017.