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

Charles Mahlon Tucker, PTA

Individual provider Physical Therapy Assistant · NPI 1043853278

Charles Mahlon Tucker, PTA is a Physical Therapy Assistant in Altamonte Springs, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2019
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

112 W Citrus St
Altamonte Springs, FL 32714-2502
Phone: (407) 865-5642
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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 PTA29584 (FL)

Record details

NPI number1043853278
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorYes
NPI enumeratedOctober 21, 2019
Last updated in NPPESNovember 27, 2023

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