Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Gary Lynn Painter Jr., PTA

Individual provider Physical Therapy Assistant · NPI 1902028632

Mr. Gary Lynn Painter Jr., PTA is a Physical Therapy Assistant in Lake Wales, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2007
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

410 S 11th St
Lake Wales, FL 33853-4203
Phone: (863) 679-6841
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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 PTA18415 (FL)

Record details

NPI number1902028632
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorYes
NPI enumeratedMay 3, 2007
Last updated in NPPESJuly 8, 2007

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