Shelley Ankerholz, PTA
Individual provider Active NPI Physical Therapy Assistant · Lake Mary, FL
NPI 1639624695 · NPPES record last updated Aug 19, 2016
Key facts
- NPI
- 1639624695
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- PTA26801 (FL)
- Practice address
- 934 Williston Park PT Ste 1020
Lake Mary, FL 32746-2165 - Phone
- (407) 829-7311
- NPI assigned
- Aug 19, 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
| License | State | Type | Specialty |
|---|---|---|---|
| PTA26801 | FL | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | PTA26801 | FL | Yes |
Addresses
Primary practice location
934 Williston Park PT Ste 1020
Lake Mary, FL 32746-2165
Mailing address
1452 Foxtail CT
Lake Mary, FL 32746-4467
Phone (407) 463-1133
Other providers in Lake Mary, FL
- Donna M Andries
- Leslie Andujar
- Anesthesiologists of Greater Orlando Inc
- Anesthesiologists of Greater Orlando Inc
- Sabrina Angelonides
- Maha F Ansara
- Omeir Tariq Ansari
- Karla A Antillano
- Kathleen P. Antonio
- Neenu Antony
All providers in Lake Mary, 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 Aug 19, 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.