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

Carlos Fabricio Boston, PTA

Individual provider Physical Therapy Assistant · NPI 1073924049

Carlos Fabricio Boston, PTA is a Physical Therapy Assistant in Lake City, Florida. Licensed in Florida. Registered with an NPI since 2014.

Licensed in
FL
In the registry since
2014
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

See every abbreviation used in this directory →

Practice location Address checks out

146 SW Orthopedic Ct
Lake City, FL 32024-0672
Phone: (386) 755-9215
Fax: (386) 755-6469
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence PTA24839 (FL)

Record details

NPI number1073924049
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorNo
NPI enumeratedMay 13, 2014
Last updated in NPPESFebruary 19, 2015

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