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

Kelley J Bannerman, PTA

Individual provider Physical Therapy Assistant · NPI 1073307005

Kelley J Bannerman, PTA is a Physical Therapy Assistant in The Villages, Florida. Licensed in Florida. Registered with an NPI since 2025.

Licensed in
FL
In the registry since
2025
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

768 Huey Ln
The Villages, FL 32162-7442
Phone: (585) 429-0603
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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 PTA29214 (FL)

Record details

NPI number1073307005
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorNo
NPI enumeratedApril 7, 2025
Last updated in NPPESApril 7, 2025
Certification dateApril 6, 2025

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