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

Individual provider Physical Therapy Assistant · NPI 1720749039

Jeremy D Prewitt, PTA is a Physical Therapy Assistant in Orlando, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2022
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

3359 Mission Bay Blvd Apt 224
Orlando, FL 32817-1972
Phone: (904) 735-3565
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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 PTA28569 (FL)

Record details

NPI number1720749039
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorYes
NPI enumeratedJanuary 8, 2022
Last updated in NPPESJanuary 8, 2022
Certification dateJanuary 8, 2022
Mailing address3359 Mission Bay Blvd Apt 224, Orlando, FL 32817-1972

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