Tracy Ann Griffith, PTA
Individual provider Active NPI Physical Therapy Assistant · Heathrow, FL
NPI 1811161177 · NPPES record last updated Oct 15, 2011
Key facts
- NPI
- 1811161177
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- PTA 21177 (FL)
- Practice address
- 1337 S. International Pkwy
Suite 1321
Heathrow, FL 32771-1013 - Phone
- (407) 833-0802
- NPI assigned
- Apr 17, 2008
- 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 |
|---|---|---|---|
| PTA 21177 | FL | MD | Physical Therapy Assistant |
Networks
- Optimum HealthCare HMO Network
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | PTA 21177 | FL | Yes |
Addresses
Primary practice location
1337 S. International Pkwy
Suite 1321
Heathrow, FL 32771-1013
Mailing address
1001 Pioneer Way
Geneva, FL 32732-9131
Phone (321) 217-3377
Other names
- Tracy Ann Oates
Other providers in Heathrow, FL
- Brandie Glover
- Joii West Goodman
- Carla Gordon
- Ruth Ellen Graves
- Tara Lea Green
- Clarisa Stephanie Guerrero
- Chris Guthrie
- Everett Harris
- Brenda Nicole Hawkins
- Angela Hays
All providers in Heathrow, 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 Oct 15, 2011. 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.