Elizabeth Ptachick, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA31283 Issued in FL

Practice address

2711 Capital Medical Blvd Ste E
Tallahassee, FL 32308-4446

Phone

(850) 210-1172

Fax

(850) 210-0047

NPI assigned

Oct 8, 2021

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Premier Therapy Services

  • Occupational Therapist
  • Tallahassee, FL
  • NPI 1922402692
  NPD (past)

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

{
    "created_epoch": "1633651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633651200000",
    "number": "1942962824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2711 CAPITAL MEDICAL BLVD STE E",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323084446",
            "telephone_number": "850-210-1172",
            "fax_number": "850-210-0047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2711 CAPITAL MEDICAL BLVD STE E",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323084446",
            "telephone_number": "850-210-1172",
            "fax_number": "850-210-0047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PTACHICK",
        "first_name": "ELIZABETH",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-08",
        "last_updated": "2021-10-08",
        "certification_date": "2021-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA31283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapy Assistant in Tallahassee, FL
• Providers in Tallahassee, 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 Oct 8, 2021; 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.