Brian Wesley Gupton in Ponte Vedra Beach - Physical Therapist
Brian Wesley Gupton - NPI 1093815532
Brian Wesley Gupton is a Physical Therapist in Ponte Vedra Beach, Florida. Brian Wesley Gupton practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Brian Wesley Gupton is 1093815532. The last update date is 2007-07-09.
Brian Wesley Gupton's current location address is 880 A1a N, Ponte Vedra Beach, Florida. You can contact this provider via phone number 9047787501 and fax number 9047787504. The mailing address for Brian Wesley Gupton is 880 A1a N, Ponte Vedra Beach, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brian Wesley Gupton |
|---|---|
| Address | 880 A1a N, Ponte Vedra Beach, Florida |
| Phone Number | 9047787501 |
| Fax Number | 9047787504 |
| Sole Proprietor | N |
| Credentials | DPT |
NPI Number Detail
| NPI Number | 1093815532 |
|---|---|
| Provider Enumeration Date | 2006-09-24 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 880 A1a N |
|---|---|
| City | Ponte Vedra Beach |
| State | Florida (FL) |
| Post Code | 320823220 |
| Phone Number | 9047787501 |
| Fax Number | 9047787504 |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapist |
|---|---|
| Taxonomy | 225100000X |
| Licence No | PT19848 |
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Definition: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and per |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| Y0578 | FL | BCBS |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Brian Wesley Gupton by the Centers for Medicare & Medicaid Services?
The Brian Wesley Gupton has been issued the NPI (National Provider Identifier) 1093815532, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Brian Wesley Gupton is located?
The Brian Wesley Gupton is situated at the following address: 880 A1A N, Ponte Vedra Beach, FL, 320823220.
What is Brian Wesley Gupton's specialized field of practice, and what is the corresponding taxonomy classification code?
The Brian Wesley Gupton's area of specialization is Physical Therapist, and the corresponding taxonomy code that categorizes this field of practice is 225100000X.
On what date did the Brian Wesley Gupton receive its 1093815532 assignment from the Centers for Medicare & Medicaid Services?
The Brian Wesley Gupton was assigned its 1093815532 by the Centers for Medicare & Medicaid Services on 2006-09-24.
When was the information pertaining to Brian Wesley Gupton most recently updated or revised?
The details related to Brian Wesley Gupton, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-09.