MEDICARE: CADE DONALDSON 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	PT43969	FL

General Provider Information

NPI Number	:	1588523369
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CADE DONALDSON PT

Provider Business Mailing Address
First Line	:	12780 WATERFORD LAKES PKWY STE 115
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32828-4501
Country	:	US
Telephone Number	:	407-207-7188
Fax Number	:	407-207-7103

Provider Business Practice Location Address
First Line	:	12780 WATERFORD LAKES PKWY STE 115
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32828-4501
Country	:	US
Telephone Number	:	407-207-7188
Fax Number	:	407-207-7103

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

Provider Enumeration Date	:	01/19/2026
Last Update Date	:	01/19/2026

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Directions to “ CADE DONALDSON PT” Practice Location

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