Dora Presutti, PTA, CHC

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA1681 Issued in FL

Practice address

4101 Southpoint Dr E
Jacksonville, FL 32216-0996

Phone

(904) 296-6800

NPI assigned

May 21, 2014

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1400630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400630400000",
    "number": "1700298098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13758 HARBOR CREEK PL",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322240812",
            "telephone_number": "904-992-8873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4101 SOUTHPOINT DR E",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322160996",
            "telephone_number": "904-296-6800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRESUTTI",
        "first_name": "DORA",
        "credential": "PTA, CHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-21",
        "last_updated": "2014-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA1681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jowana T'Pring Preston-Gray
• Asia D Preston
• Dana Yvonne Preston, PHD, APRN, - C.S
• Laquitter Janell Preston, PMHNP-BC
• Sara Marie Preston, A.R.N.P.
• Richard Presutti, DO
• Pretty Gyrl Logistics Inc.
• Eric Preusler, LCSW
• Katherine Harper Prevatt, APRN
• Rebekah Prevatt, BCBA

• Physical Therapy Assistant in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Physical Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.