MEDICARE: SAVANNAH MICHELLE DAY PTA

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	225200000X	Physical Therapy Assistant	PTA34813	FL

General Provider Information

NPI Number	:	1629902119
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SAVANNAH MICHELLE DAY PTA

Provider Business Mailing Address
First Line	:	473 WOODLAND CT SE
Second Line	:
City	:	WISE
State	:	VA
Zip	:	24293-6205
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	718 22ND AVE S
Second Line	:
City	:	SAINT PETERSBURG
State	:	FL
Zip	:	33705-3004
Country	:	US
Telephone Number	:	272-894-5125
Fax Number	:

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

Provider Enumeration Date	:	06/10/2026
Last Update Date	:	06/10/2026

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