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

Mr. Dustin Ely

Individual provider Physical Therapy Assistant · NPI 1871907808

Mr. Dustin Ely is a Physical Therapy Assistant in Lakeland, Florida. Licensed in Florida. Registered with an NPI since 2014.

Licensed in
FL
In the registry since
2014

Practice location Address checks out

411 E Orange St Ste 204
Lakeland, FL 33801-5054
Phone: (863) 617-9400
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 PTA22832 (FL)

Record details

NPI number1871907808
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 18, 2014
Last updated in NPPESJune 18, 2014
Mailing address6470 Horizon Point Dr, Lakeland, FL 33813-5407

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