Provider Demographics
NPI:1316558232
Name:BRIGGS, JOHN TYLER (PT, DPT)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:TYLER
Last Name:BRIGGS
Suffix:
Gender:M
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6558 CREEKVIEW TER N
Mailing Address - Street 2:
Mailing Address - City:PINELLAS PARK
Mailing Address - State:FL
Mailing Address - Zip Code:33781-4818
Mailing Address - Country:US
Mailing Address - Phone:630-310-4618
Mailing Address - Fax:
Practice Address - Street 1:2349 SUNSET POINT RD STE 400
Practice Address - Street 2:
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33765-1439
Practice Address - Country:US
Practice Address - Phone:727-723-8457
Practice Address - Fax:727-723-8467
Is Sole Proprietor?:No
Enumeration Date:2020-08-13
Last Update Date:2021-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT36037225100000X
FLPT30637225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist