Individual provider · Type 1 NPI

Tiye Jackson, PTA

Physical Therapy Assistant · Melbourne, FL

NPI number 1669151841 Active

Practice location

3680 N Wickham Rd
Melbourne, FL 32935-2337

Call (321) 255-5500 Map

Mailing address

5513 Winter Garden Pkwy
Fort Pierce, FL 34951-2054

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X32771 (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 1669151841

Tiye Jackson, PTA's National Provider Identifier is 1669151841, issued on Jul 14, 2023. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Melbourne, FL. The record was last updated on Jul 14, 2023.