Provider Demographics
NPI:1558368290
Name:PYLE, SHAKILA CELIN (PT)
Entity Type:Individual
Prefix:
First Name:SHAKILA
Middle Name:CELIN
Last Name:PYLE
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:SHAKILA
Other - Middle Name:CELIN
Other - Last Name:SUBHAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:2230 SW 19TH AVENUE RD
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34471-1391
Mailing Address - Country:US
Mailing Address - Phone:352-368-1340
Mailing Address - Fax:352-237-7728
Practice Address - Street 1:2135 SW 19TH AVENUE RD STE 103
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34471-7877
Practice Address - Country:US
Practice Address - Phone:352-368-1340
Practice Address - Fax:352-237-7728
Is Sole Proprietor?:No
Enumeration Date:2005-07-07
Last Update Date:2023-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT20416225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist