Casey El Sesy, PTA

Individual provider Active NPI Physical Therapy Assistant · Debary, FL

NPI 1174077010 · NPPES record last updated Aug 9, 2016

Key facts

NPI
1174077010
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapy Assistant 225200000X
License
PTA26777 (FL)
Practice address
208 Knights Bridge PL
Debary, FL 32713-2326
Phone
(239) 249-2172
NPI assigned
Aug 9, 2016
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

State licenses

LicenseStateTypeSpecialty
PTA26777FLMDPhysical Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X PTA26777 FL Yes

Addresses

Primary practice location

208 Knights Bridge PL
Debary, FL 32713-2326

Mailing address

208 Knights Bridge PL
Debary, FL 32713-2326
Phone (239) 249-2172

Other identifiers

IdentifierTypeStateIssuer
CELSESY0466MedicaidFL

Other providers in Debary, FL

All providers in Debary, FL · Physical Therapy Assistant in Florida

Sources for this page

Verify at the official NPI Registry.