Individual provider · Type 1 NPI

Shanaia Porter, PTA

Physical Therapy Assistant · Leesburg, FL

NPI number 1487308805 Active

Practice location

701 N 14th St Ste 1
Leesburg, FL 34748-4205

Fax (352) 314-5954

Specialties and licenses

Taxonomy	Code	License
Physical Therapy Assistant Primary	225200000X	30636 (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 1487308805

Shanaia Porter, PTA's National Provider Identifier is 1487308805, issued on Feb 4, 2022. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Leesburg, FL. The record was last updated on Feb 4, 2022.