Provider Demographics
NPI:1497204747
Name:PAPPAS, SHEILA (PTA1934)
Entity Type:Individual
Prefix:
First Name:SHEILA
Middle Name:
Last Name:PAPPAS
Suffix:
Gender:F
Credentials:PTA1934
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3581 S OCEAN BLVD
Mailing Address - Street 2:APT 3E
Mailing Address - City:SOUTH PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33480-6402
Mailing Address - Country:US
Mailing Address - Phone:561-385-9664
Mailing Address - Fax:
Practice Address - Street 1:3581 S OCEAN BLVD
Practice Address - Street 2:APT 3E
Practice Address - City:SOUTH PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33480-6402
Practice Address - Country:US
Practice Address - Phone:561-385-9664
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-28
Last Update Date:2016-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPTA1934225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant