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

Mr. Temesgen Alem Kidane, PTA

Individual provider Physical Therapy Assistant · NPI 1063093482

Mr. Temesgen Alem Kidane, PTA is a Physical Therapy Assistant in Orlando, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2021
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

4125 Hunters Park Ln Ste 116
Orlando, FL 32837-7615
Phone: (407) 855-0614
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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 30969 (FL)

Record details

NPI number1063093482
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorYes
NPI enumeratedApril 16, 2021
Last updated in NPPESApril 16, 2021
Certification dateApril 16, 2021

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