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

Shawn Wilson, PTA

Individual provider Physical Therapy Assistant · NPI 1447341821

Shawn Wilson, PTA is a Physical Therapy Assistant in Palm Bay, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2006
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

490 Centre Lake Dr NE
Palm Bay, FL 32907-1189
Phone: (321) 768-9776
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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 PTA 18076 (FL)

Record details

NPI number1447341821
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorYes
NPI enumeratedSeptember 28, 2006
Last updated in NPPESJuly 8, 2007
Mailing address232 Tipton Rd Sw, Palm Bay, FL 32908-3452

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