Mr. Ivan Broaderick Gresham is a Callahan, Florida based male who is specialized as Physical Therapist Assistant. Active license number of Mr. Ivan Broaderick Gresham as Physical Therapist Assistant is PTA24242 in Florida. Mr. Ivan Broaderick Gresham is an individual who works under the supervision of a physical therapist to assist him or her in providing physical therapy services. He help patients to follow an appropriate exercise program that will increase their strength, endurance, coordination, and range of motion and train patients to perform activities of daily life.
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 Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of the physical therapist assistant. The PTA performs physical therapy procedures and related tasks that have been selected and delegated by the supervising physical therapist.
Complete Profile:
Mr. Ivan Broaderick Gresham speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Physical Therapy Assistant
Gender:
Male
Practice Address:
45390 Green Ave, Callahan, Florida, 32011-3711
Phone:
904-879-1223
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1457789653
NPI Enumeration Date:
24 Oct, 2013
NPI Last Update On:
24 Oct, 2013
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mr. Ivan Broaderick Gresham are as mentioned below.
License Number
Specialization
State
Status
PTA24242
Physical Therapy Assistant
Florida
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Mr. Ivan Broaderick Gresham such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
PTA24242
Other
Florida
STATE LICENSE #
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
45390 Green Ave, Callahan, Florida
Zip:
32011-3711
Phone Number:
904-879-1223
Fax Number:
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Patients can reach Mr. Ivan Broaderick Gresham at 45390 Green Ave, Callahan, Florida or can call to book an appointment on 904-879-1223. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 September, 2024.
Comments/ Reviews:
Similar Physical Therapy Assistant in Callahan, FL
Mr. Jerry Lynn Edwards, PTA Speciality: Physical Therapy Assistant Address: 45390 Green Ave, FL Phone: 904-879-1223 Fax: 904-277-4177
Jordan Powell, PTA Speciality: Physical Therapy Assistant Address: 45390 Green Ave, FL Phone: 904-879-1223