Gail N Brandt, PTA
Individual provider Active NPI Physical Therapy Assistant · Mims, FL
NPI 1366713810 · NPPES record last updated Jan 14, 2012
Key facts
- NPI
- 1366713810
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- PTA2150 (FL)
- Practice address
- 3890 Hammock Rd
Mims, FL 32754-5586 - Phone
- (321) 269-8027
- NPI assigned
- Jan 14, 2012
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| PTA2150 | FL | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | PTA2150 | FL | Yes |
Addresses
Primary practice location
3890 Hammock Rd
Mims, FL 32754-5586
Mailing address
3890 Hammock Rd
Mims, FL 32754-5586
Phone (321) 269-8027
Other providers in Mims, FL
- Valerie Altiery
- Debra Lynn Baker
- Behavior Education Language & Lifeskills, Inc.
- Christine Ann Cassidy
- Suzanne Comer
- David Willis DO PA
- Sawn Davis
- Hana Desoff
All providers in Mims, 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 Jan 14, 2012. 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.