Individual provider · Type 1 NPI

Tyler Emerson Mellecker, PTA

Physical Therapy Assistant · Estero, FL

NPI number 1760280481 Active

Practice location

20973 Corkscrew Shores Blvd
Estero, FL 33928-9146

Fax (239) 320-3231

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Clinic/Center 261QP2000X27302 (FL)
Physical Therapy Assistant Primary 225200000X27302 (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 1760280481

Tyler Emerson Mellecker, PTA's National Provider Identifier is 1760280481, issued on Mar 6, 2025. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Estero, FL. The record was last updated on Mar 6, 2025.