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

Mr. Kenneth Daryl Tibbetts Jr., PTA

Individual provider Physical Therapy Assistant · NPI 1639786569

Mr. Kenneth Daryl Tibbetts Jr., PTA is a Physical Therapy Assistant in Tampa, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2020
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

719 E Robson St
Tampa, FL 33604-4224
Phone: (813) 712-0618
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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 28226 (FL)

Record details

NPI number1639786569
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorYes
NPI enumeratedSeptember 24, 2020
Last updated in NPPESSeptember 24, 2020
Certification dateSeptember 24, 2020

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