Deborah Stanley, PTA
Individual provider Active NPI Physical Therapy Assistant · Melrose, FL
NPI 1972137339 · NPPES record last updated Feb 25, 2020
Key facts
- NPI
- 1972137339
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- PTA30087 (FL)
- Practice address
- 25727 NE State Road 26
Melrose, FL 32666-6202 - Phone
- (352) 475-3113
- NPI assigned
- Feb 25, 2020
- 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 |
|---|---|---|---|
| PTA30087 | FL | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | PTA30087 | FL | Yes |
Addresses
Primary practice location
25727 NE State Road 26
Melrose, FL 32666-6202
Mailing address
1801 State Road 100
Melrose, FL 32666-3145
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://www.clinicient.com/ |
Other providers in Melrose, FL
- Carol Rich
- Karsyn A Robinson
- Deili Rodriguez
- Patrica Shackleford
- Jeffrey C Smith
- Kimberley Stanley
- Joe E. Steidl
- Bette Vantrump Stephens
- Latoya Strickland
- Richard C Sturdivant
All providers in Melrose, 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 Feb 25, 2020. 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.