MEDICARE: GRACIELLE DA SILVA LOCATELLI

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	PT43980	FL

General Provider Information

NPI Number	:	1326918178
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GRACIELLE DA SILVA LOCATELLI

Provider Business Mailing Address
First Line	:	2203 CHATHAM PLACE DR
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32824-4773
Country	:	US
Telephone Number	:	321-663-7190
Fax Number	:

Provider Business Practice Location Address
First Line	:	13564 VILLAGE PARK DR UNIT 150
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32837-7765
Country	:	US
Telephone Number	:	321-843-5851
Fax Number	:

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

Provider Enumeration Date	:	11/07/2025
Last Update Date	:	04/08/2026

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Directions to “ GRACIELLE DA SILVA LOCATELLI ” Practice Location

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