Individual provider · Type 1 NPI

Wilson Rodriguez Jr.

Physical Therapy Assistant · Fort Walton Beach, FL

NPI number 1407733876 Active

Practice location

1000 Mar Walt Dr
Fort Walton Beach, FL 32547-6708

Call (850) 863-7581 Map

Mailing address

2882 Azalea Dr
Eglin Afb, FL 32542-3216

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X33782 (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 1407733876

Wilson Rodriguez Jr.'s National Provider Identifier is 1407733876, issued on Aug 18, 2025. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Fort Walton Beach, FL. The record was last updated on Aug 18, 2025.