Ruth Ellen Graves
Individual provider Active NPI Physical Therapy Assistant · Heathrow, FL
NPI 1023306214 · NPPES record last updated Jul 21, 2011
Key facts
- NPI
- 1023306214
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 001545 (IA)
- Practice address
- 1525 International Pkwy
Heathrow, FL 32746-7644 - Phone
- (800) 798-6035
- NPI assigned
- Jul 21, 2011
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 001545 | IA | Yes |
Addresses
Primary practice location
1525 International Pkwy
Heathrow, FL 32746-7644
Mailing address
1525 International Pkwy
Heathrow, FL 32746-7644
Phone (800) 798-6035
Other providers in Heathrow, FL
- Lori A Garrett
- Shannon Gfell
- Brandie Glover
- Joii West Goodman
- Carla Gordon
- Tara Lea Green
- Tracy Ann Griffith
- Clarisa Stephanie Guerrero
- Chris Guthrie
- Everett Harris
All providers in Heathrow, FL · Physical Therapy Assistant in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.