Individual provider · Type 1 NPI

Marko Anthony Medina, PTA

Physical Therapy Assistant · Davenport, FL

NPI number 1790644235 Active

Practice location

1991 Davenport Blvd
Davenport, FL 33837-9201

Call (863) 679-3338 Map

Mailing address

1003 Westwinds Dr
Davenport, FL 33837-3841

Specialties and licenses

Taxonomy	Code	License
Physical Therapy Assistant Primary	225200000X	PTA19439 (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 …

3 other providers at this address

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About NPI 1790644235

Marko Anthony Medina, PTA's National Provider Identifier is 1790644235, issued on Jan 20, 2026. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Davenport, FL. The record was last updated on Jan 20, 2026.