Petrus G Cronje
Individual provider Active NPI Geriatric Physical Therapist · Port Orange, FL
NPI 1104073444 · NPPES record last updated Aug 19, 2008
Key facts
- NPI
- 1104073444
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Geriatric Physical Therapist 2251G0304X
- License
- PT14506 (FL)
- Practice address
- 6513 Shahab LN
Port Orange, FL 32128-6073 - Phone
- (386) 756-4092
- NPI assigned
- Aug 19, 2008
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Professional Physical Therapy and Associates LTD Co | Geriatrics | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Physical Therapist | 2251G0304X | PT14506 | FL | Yes |
Addresses
Primary practice location
6513 Shahab LN
Port Orange, FL 32128-6073
Mailing address
6513 Shahab LN
Port Orange, FL 32128-6073
Phone (386) 756-4092
Other providers in Port Orange, FL
- Samantha Dora Creager
- Katie Weisz Cremata
- Alexandra Crespo Davila
- Lauren Cresser
- Devona Cromartie
- Jessica Crowell
- Grace Crumrine
- CSL Physical Therapy, LLC
- Silvia Maria Cuadra Mongalo
- Mario Cucchiarella
All providers in Port Orange, FL · Geriatric Physical Therapist in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 19, 2008. 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.