Bradley Wade Ellis in Gainesville - Physical Therapy Assistant
Bradley Wade Ellis - NPI 1639215031
Bradley Wade Ellis is a Physical Therapy Assistant in Gainesville, Florida. Bradley Wade Ellis practices all healthcare services and medical treatments related to Physical Therapy Assistant. The NPI Number for Bradley Wade Ellis is 1639215031. The last update date is 2007-07-08.
Bradley Wade Ellis's current location address is 4820 Newberry Road, Gainesville, Florida. You can contact this provider via phone number 3523732116 and fax number 3523731507. The mailing address for Bradley Wade Ellis is 4820 Newberry Road, Gainesville, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bradley Wade Ellis |
|---|---|
| Address | 4820 Newberry Road, Gainesville, Florida |
| Phone Number | 3523732116 |
| Fax Number | 3523731507 |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1639215031 |
|---|---|
| Provider Enumeration Date | 2007-01-30 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 4820 Newberry Road |
|---|---|
| City | Gainesville |
| State | Florida (FL) |
| Post Code | 326070 |
| Phone Number | 3523732116 |
| Fax Number | 3523731507 |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapy Assistant |
|---|---|
| Taxonomy | 225200000X |
| Licence No | PTA19813 |
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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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Post Comment/ Review Below
What is the unique identifier code issued to Bradley Wade Ellis by the Centers for Medicare & Medicaid Services (CMS)?
The Bradley Wade Ellis has been assigned the NPI (National Provider Identifier) 1639215031. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete street address where Bradley Wade Ellis is physically located?
The Bradley Wade Ellis is physically situated at the following address: 4820 Newberry Road, Gainesville, FL, 326070.
What is Bradley Wade Ellis's area of expertise and its corresponding taxonomy classification?
The Bradley Wade Ellis'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.
When did Bradley Wade Ellis receive its 1639215031 assignment?
The Bradley Wade Ellis was assigned its 1639215031 on 2007-01-30, which is the date when this unique identifier was issued to the organization.
As of what date were the details pertaining to Bradley Wade Ellis last refreshed?
The information related to the Bradley Wade Ellis, including its address, specialty, and other relevant details, was last updated on 2007-07-08.