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

Ryan Baksh, PTA

Individual provider Physical Therapy Assistant · NPI 1104760065

Ryan Baksh, PTA is a Physical Therapy Assistant in Port Saint Lucie, Florida. Licensed in Florida. Registered with an NPI since 2026.

Licensed in
FL
In the registry since
2026
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

10560 SW Village Pkwy
Port Saint Lucie, FL 34987-2359
Phone: (772) 446-0203
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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 PTA33562 (FL)

Record details

NPI number1104760065
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorNo
NPI enumeratedApril 20, 2026
Last updated in NPPESApril 20, 2026
Certification dateApril 19, 2026
Mailing address1116 Sw Lawndale Ave, Port Saint Lucie, FL 34953-7714

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