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

Teara Frederick

Individual provider Physical Therapy Assistant · NPI 1245893106

Teara Frederick is a Physical Therapy Assistant in Kissimmee, Florida. Practices as a sole proprietor and works from 2 locations. Licensed in Florida.

Licensed in
FL
In the registry since
2019
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Practice location Address checks out

201 Park Place Blvd
Kissimmee, FL 34741-2345
Phone: (407) 530-5063
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1200 Floral Springs Blvd Unit 27303, Port Orange, FL 32129-6844 — (386) 569-1618

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence PTA29215 (FL)

Record details

NPI number1245893106
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 17, 2019
Last updated in NPPESJanuary 1, 2022
Certification dateJanuary 1, 2022
Mailing address1200 Floral Springs Blvd Unit 27302, Port Orange, FL 32129-6844

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