Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JETT ECLIPSE
ActiveJETT ECLIPSE is a Physical Therapy Assistant healthcare provider located in PORT ORANGE, Florida. NPI 1881988459 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · PORT ORANGE, FL
Registration Details
- NPI Number
- 1881988459
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 1, 2011 (15.203490865029 yrs)
- Last Updated
- Jun 1, 2011
- License
-
05009240A (IN)
Practice Information
- Address
-
5535 S WILLIAMSON BLVDSUITE 774PORT ORANGE, FL, 321288311Browse FL providers · Browse ZIP 32128
- Phone
- 3869447202
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in PORT ORANGE, FL
| Name | Credential | NPI |
|---|---|---|
| MRS. JOANNE WALTER | PT | 1962467886 |
| ADAM HOFFMAN | PT | 1538105218 |
| AMY LOUISE ELLIS | PT | 1548272081 |
| REBECCA CRISTINE MCCRACKEN | DPT | 1093825960 |
| STACY M MCDANIEL | DPT, MOT | 1831288232 |
| MRS. DENA SUSAN CALTRIDER | MSPT | 1861530586 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.