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

Mr. Stacey Gill, LPTA

Individual provider Physical Therapy Assistant · NPI 1205290780

Mr. Stacey Gill, LPTA is a Physical Therapy Assistant in New Smyrna Beach, Florida. Licensed in Florida. Registered with an NPI since 2016.

Licensed in
FL
In the registry since
2016

Practice location Address checks out

916 N Dixie Fwy
New Smyrna Beach, FL 32168-6220
Phone: (386) 426-7885
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 PTA9249 (FL)

Record details

NPI number1205290780
Entity typeIndividual (Type 1)
GenderMale
Credentials LPTA
Sole proprietorNo
NPI enumeratedApril 11, 2016
Last updated in NPPESApril 11, 2016

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