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

Diana Ickes, PTA

Individual provider Other Specialist/Technologist · NPI 1669923496

Diana Ickes, PTA is an Other Specialist/Technologist in Riverview, Florida. Licensed in Florida. Registered with an NPI since 2016.

Licensed in
FL
In the registry since
2016
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

11458 Captiva Kay Dr
Riverview, FL 33569-2057
Phone: (941) 812-8159
Show map & directions

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

Specialties & licences

Other Specialist/Technologist (primary) Taxonomy 246Z00000X · Licence PTA17336 (FL)

Record details

NPI number1669923496
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorNo
NPI enumeratedOctober 17, 2016
Last updated in NPPESOctober 17, 2016
Mailing address11458 Captiva Kay Dr, Riverview, FL 33569-2057