Stacey Nicole Adams, PTA
Individual provider Active NPI Physical Therapy Assistant · Palm Coast, FL
NPI 1679831697 · NPPES record last updated Apr 27, 2012
Key facts
- NPI
- 1679831697
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- PTA20044 (FL)
- Practice address
- 2 Bowman PL
Palm Coast, FL 32137-8505 - Phone
- (386) 283-0103
- NPI assigned
- Apr 27, 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 |
|---|---|---|---|
| PTA20044 | FL | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | PTA20044 | FL | Yes |
Addresses
Primary practice location
2 Bowman PL
Palm Coast, FL 32137-8505
Mailing address
2 Bowman PL
Palm Coast, FL 32137-8505
Phone (386) 283-0103
Other providers in Palm Coast, FL
- Caridad Acosta
- Acuity Retail Whaley, LLC
- Acute Care Pediatrics of Palm Coast, PA
- Adams Medical Associates, PA
- Rachel Adams
- Advanced Dental Care Palm Coast
- Advanced Urology Institute LLC
- Advantacare Multi-Specialty Group, LLC
- Advantacare of Florida, LLC
- Adventhealth Palm Coast Parkway Inc
All providers in Palm Coast, 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 Apr 27, 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.