Staci Cathy-Sue Roberts in Port Orange - Physical Therapy Assistant
Staci Cathy-Sue Roberts - NPI 1205057858
Staci Cathy-Sue Roberts is a Physical Therapy Assistant in Port Orange, Florida. Staci Cathy-Sue Roberts practices all healthcare services and medical treatments related to Physical Therapy Assistant. The NPI Number for Staci Cathy-Sue Roberts is 1205057858. The last update date is 2007-07-08.
Staci Cathy-Sue Roberts's current location address is 1525 Herbert St, Port Orange, Florida. You can contact this provider via phone number 3867560424. The mailing address for Staci Cathy-Sue Roberts is 1525 Herbert St, Port Orange, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Staci Cathy-Sue Roberts |
|---|---|
| Address | 1525 Herbert St, Port Orange, Florida |
| Phone Number | 3867560424 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PTA |
NPI Number Detail
| NPI Number | 1205057858 |
|---|---|
| Provider Enumeration Date | 2007-05-01 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1525 Herbert St |
|---|---|
| City | Port Orange |
| State | Florida (FL) |
| Post Code | 32129 |
| Phone Number | 3867560424 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapy Assistant |
|---|---|
| Taxonomy | 225200000X |
| Licence No | PTA20841 |
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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 |
|---|---|---|---|
| PTA20841 | FL | LICENSURE |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Staci Cathy-Sue Roberts by the Centers for Medicare & Medicaid Services?
The Staci Cathy-Sue Roberts has been assigned the NPI (National Provider Identifier) 1205057858 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Staci Cathy-Sue Roberts's facilities are geographically located?
The facilities of Staci Cathy-Sue Roberts are physically situated at the following location: 1525 Herbert St, Port Orange, FL, 32129.
What is Staci Cathy-Sue Roberts's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Staci Cathy-Sue Roberts's specialized field of practice is Physical Therapy Assistant, and the corresponding taxonomy code that categorizes this area of specialization is 225200000X.
On what date did Staci Cathy-Sue Roberts receive its 1205057858 assignment from the Centers for Medicare & Medicaid Services?
The Staci Cathy-Sue Roberts was assigned its 1205057858 on 2007-05-01, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Staci Cathy-Sue Roberts, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Staci Cathy-Sue Roberts, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.