Evelyn J Black in Lakeland - Physical Therapy Assistant
Evelyn J Black - NPI 1649368762
Evelyn J Black is a Physical Therapy Assistant in Lakeland, Florida. Evelyn J Black practices all healthcare services and medical treatments related to Physical Therapy Assistant. The NPI Number for Evelyn J Black is 1649368762. The last update date is 2007-07-08.
Evelyn J Black's current location address is 417 S Florida Ave, Lakeland, Florida. You can contact this provider via phone number 8636881800. The mailing address for Evelyn J Black is 417 S Florida Ave, Lakeland, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Evelyn J Black |
|---|---|
| Address | 417 S Florida Ave, Lakeland, Florida |
| Phone Number | 8636881800 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PTA |
NPI Number Detail
| NPI Number | 1649368762 |
|---|---|
| Provider Enumeration Date | 2006-10-11 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 417 S Florida Ave |
|---|---|
| City | Lakeland |
| State | Florida (FL) |
| Post Code | 338015226 |
| Phone Number | 8636881800 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapy Assistant |
|---|---|
| Taxonomy | 225200000X |
| Licence No | PTA18831 |
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Definition: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Post |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| PTA18831 | FL | PHYSICAL THERAPIST ASST |
Post Comment/ Review Below
What is the unique identifier code issued to Evelyn J Black by the Centers for Medicare & Medicaid Services (CMS)?
The Evelyn J Black has been assigned the NPI (National Provider Identifier) 1649368762. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Evelyn J Black located?
The Evelyn J Black is located at 417 S Florida Ave, Lakeland, FL 338015226.
What is Evelyn J Black's area of expertise and its corresponding taxonomy classification?
The Evelyn J Black's field of specialization is Physical Therapy Assistant, and it falls under the taxonomy code 225200000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Evelyn J Black receive its 1649368762 assignment from the Centers for Medicare & Medicaid Services?
The Evelyn J Black was assigned its 1649368762 by the Centers for Medicare & Medicaid Services on 2006-10-11.
When was the information related to Evelyn J Black most recently updated or refreshed?
The details pertaining to the Evelyn J Black, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.