Healthcare Provider Details

I. General information

NPI: 1427970219
Provider Name (Legal Business Name): CHRIS MOBLEY II PTA
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/27/2026
Last Update Date: 07/27/2026
Certification Date: 07/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3944 FLORIDA BLVD
PALM BEACH GARDENS FL
33410-2271
US

IV. Provider business mailing address

4710 PORTOFINO WAY
WEST PALM BEACH FL
33409-8176
US

V. Phone/Fax

Practice location:
  • Phone: 561-782-5868
  • Fax:
Mailing address:
  • Phone: 860-514-2437
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License Number34868
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: