Provider Demographics
NPI:1114117413
Name:CAREY, PATRICK MICHAEL (LPTA)
Entity Type:Individual
Prefix:MR
First Name:PATRICK
Middle Name:MICHAEL
Last Name:CAREY
Suffix:
Gender:M
Credentials:LPTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:37 BRAMPTON ST
Mailing Address - Street 2:
Mailing Address - City:GALLOWAY
Mailing Address - State:NJ
Mailing Address - Zip Code:08205-5618
Mailing Address - Country:US
Mailing Address - Phone:727-324-7510
Mailing Address - Fax:
Practice Address - Street 1:4044 W LAKE MARY BLVD
Practice Address - Street 2:STE. # 104-245
Practice Address - City:LAKE MARY
Practice Address - State:FL
Practice Address - Zip Code:32746-2012
Practice Address - Country:US
Practice Address - Phone:800-226-9917
Practice Address - Fax:800-224-6215
Is Sole Proprietor?:No
Enumeration Date:2007-08-01
Last Update Date:2011-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPTA 9423225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant