Provider Demographics
NPI:1679636245
Name:GRESSNER, NOEL CABOT (PT, DPT, ATC, LAT)
Entity Type:Individual
Prefix:DR
First Name:NOEL
Middle Name:CABOT
Last Name:GRESSNER
Suffix:
Gender:M
Credentials:PT, DPT, ATC, LAT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6705 SW 44TH ST APT 53
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33155-4739
Mailing Address - Country:US
Mailing Address - Phone:786-200-8282
Mailing Address - Fax:
Practice Address - Street 1:1222 S DIXIE HWY
Practice Address - Street 2:
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33146-2902
Practice Address - Country:US
Practice Address - Phone:782-467-5175
Practice Address - Fax:786-467-5176
Is Sole Proprietor?:No
Enumeration Date:2006-12-18
Last Update Date:2013-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL22909225100000X
FLAL 13772255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer