Healthcare Provider Details

I. General information

NPI: 1144174111
Provider Name (Legal Business Name): FRANK JOSEPH THIEL PTA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/25/2026
Last Update Date: 02/25/2026
Certification Date: 02/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1330 BUDINGER AVE STE 204
SAINT CLOUD FL
34769-4123
US

IV. Provider business mailing address

1330 BUDINGER AVE STE 204
SAINT CLOUD FL
34769-4123
US

V. Phone/Fax

Practice location:
  • Phone: 407-957-8106
  • Fax: 407-892-3551
Mailing address:
  • Phone: 407-957-8106
  • Fax: 407-892-3551

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License NumberPTA20363
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: