Robinson Gray Alexander, PTA
Individual provider Active NPI Physical Therapy Assistant · Winter Garden, FL
NPI 1477098465 · NPPES record last updated Dec 29, 2016
Key facts
- NPI
- 1477098465
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 26144 (FL)
- Practice address
- 15204 W Colonial Dr
Winter Garden, FL 34787-6042 - Phone
- (407) 877-2394
- NPI assigned
- Dec 29, 2016
- Sex
- Male
- Sole proprietor
- No
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)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26144 | FL | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Genesis Rehab Services | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 26144 | FL | Yes |
Addresses
Primary practice location
15204 W Colonial Dr
Winter Garden, FL 34787-6042
Mailing address
32 Regal PL
Winter Garden, FL 34787-2333
Other providers in Winter Garden, FL
- Reem Al-Baadani
- Adrian Al-Damari
- Elizabeth Albarez
- Alexis Orinthia Alexander
- Hope Alexander
- Lara Alexandre
- Mirsha Etienne Alexandre
- Nancy Alexis
- Alfa Spine and Pain
- Sharim Algarin-Morris
All providers in Winter Garden, 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 Dec 29, 2016. 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.