MEDICARE: ASHLEY GADELHA PT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	PT36146	FL

General Provider Information

NPI Number	:	1922998764
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ASHLEY GADELHA PT

Provider Business Mailing Address
First Line	:	400 N TAMPA ST STE 1550
Second Line	:	PMB 290658
City	:	TAMPA
State	:	FL
Zip	:	33602-4737
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2412 MUSSELWHITE AVE
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32804-5014
Country	:	US
Telephone Number	:	407-453-3110
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/03/2025
Last Update Date	:	07/08/2025

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Directions to “ ASHLEY GADELHA PT” Practice Location

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