Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Antonia M Favacho, PTA

Individual provider Physical Therapy Assistant · NPI 1083980767

Antonia M Favacho, PTA is a Physical Therapy Assistant in Clearwater, Florida. Licensed in Florida. Registered with an NPI since 2012.

Licensed in
FL
In the registry since
2012
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

430 Morton Plant St
Clearwater, FL 33756-3398
Phone: (727) 841-8384
Fax: (727) 461-8206
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 21770 (FL)

Record details

NPI number1083980767
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorNo
NPI enumeratedMarch 28, 2012
Last updated in NPPESMarch 28, 2012

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