Individual provider · Type 1 NPI

Samuel Joseph Gough, PTA

Physical Therapy Assistant · Melbourne, FL

NPI number 1629317516 Active

Practice location

3033 Sarno Rd
Melbourne, FL 32934-7229

Call (321) 242-6812 Map

Mailing address

825 Arthur St SE
Palm Bay, FL 32909-3756

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000XPTA14486 (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 1629317516

Samuel Joseph Gough, PTA's National Provider Identifier is 1629317516, issued on Feb 12, 2013. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Melbourne, FL. The record was last updated on Feb 12, 2013.