Individual provider · Type 1 NPI

Nathan Scott Southard

Physical Therapy Assistant · Wildwood, FL

NPI number 1710890140 Active

Practice location

5563 E Co Rd 44, Unit 6
Wildwood, FL 34785

Mailing address

1221 Emerson St
Inverness, FL 34450-6515

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000XPTA30054 (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 1710890140

Nathan Scott Southard's National Provider Identifier is 1710890140, issued on Sep 25, 2026. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Wildwood, FL. The record was last updated on Sep 25, 2026.