Gregory Wayne Petty in Jay - Physical Therapist
Gregory Wayne Petty - NPI 1386686244
Gregory Wayne Petty is a Physical Therapist in Jay, Florida. Gregory Wayne Petty practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Gregory Wayne Petty is 1386686244. The last update date is 2017-07-19.
Gregory Wayne Petty's current location address is 14114 Alabama Street, Jay, Florida. You can contact this provider via phone number 8506758040 and fax number 8506758016. The mailing address for Gregory Wayne Petty is 14114 Alabama Street, Jay, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gregory Wayne Petty |
|---|---|
| Address | 14114 Alabama Street, Jay, Florida |
| Phone Number | 8506758040 |
| Fax Number | 8506758016 |
| Sole Proprietor | Y |
| Credentials | PHYSICAL T |
NPI Number Detail
| NPI Number | 1386686244 |
|---|---|
| Provider Enumeration Date | 2006-06-12 |
| Last Updated Date | 2017-07-19 |
Provider Mailing Address Detail
| Address | 14114 Alabama Street |
|---|---|
| City | Jay |
| State | Florida (FL) |
| Post Code | 32565 |
| Phone Number | 8506758040 |
| Fax Number | 8506758016 |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapist |
|---|---|
| Taxonomy | 225100000X |
| Licence No | 2257 |
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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 |
|---|---|---|---|
| 515-33361 | AL | BLUE CROSS |
Post Comment/ Review Below
What is the unique identification code assigned to Gregory Wayne Petty by the Centers for Medicare & Medicaid Services?
The Gregory Wayne Petty has been issued the NPI (National Provider Identifier) 1386686244. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Gregory Wayne Petty is physically located?
The Gregory Wayne Petty is situated at the following address: 14114 Alabama Street, Jay, FL 32565.
What is Gregory Wayne Petty's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Gregory Wayne Petty is Physical Therapist, and the corresponding taxonomy classification code for this specialized field is 225100000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1386686244 to Gregory Wayne Petty?
The Centers for Medicare & Medicaid Services assigned the 1386686244 to Gregory Wayne Petty on 2006-06-12.
As of what date were the details related to Gregory Wayne Petty most recently updated or revised?
The information pertaining to Gregory Wayne Petty, including its address, specialty, and other relevant details, was last updated or revised on 2017-07-19.