Gerald Carter Calhoun, L.P.T.A.
Individual provider Active NPI Physical Therapy Assistant · Geneva, FL
NPI 1194263244 · NPPES record last updated Feb 9, 2017
Key facts
- NPI
- 1194263244
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- PTA26074 (FL)
- Practice address
- 2095 Starboard Dr
Geneva, FL 32732-9375 - Phone
- (706) 244-9765
- NPI assigned
- Feb 9, 2017
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTA26074 | FL | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | PTA26074 | FL | Yes |
Addresses
Primary practice location
2095 Starboard Dr
Geneva, FL 32732-9375
Mailing address
2095 Starboard Dr
Geneva, FL 32732-9375
Phone (706) 244-9765
Other providers in Geneva, FL
- Toni Allen
- Michelle S Bisbee
- Extended Family Services of Central Florida
- David Jourdenais
- Candy Sue Maclennan
- McKenzie Male
- Marvin Mengel
All providers in Geneva, 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 Feb 9, 2017. 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.