MEDICARE: JANICE TUERS ROY 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	8895	TN
2	225200000X	Physical Therapy Assistant	18742	FL

General Provider Information

NPI Number	:	1932426798
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JANICE TUERS ROY PTA

Provider Business Mailing Address
First Line	:	5063 CITY STATION DR APT 103
Second Line	:
City	:	OOLTEWAH
State	:	TN
Zip	:	37363-7003
Country	:	US
Telephone Number	:	727-667-1468
Fax Number	:

Provider Business Practice Location Address
First Line	:	5063 CITY STATION DR APT 103
Second Line	:
City	:	OOLTEWAH
State	:	TN
Zip	:	37363-7003
Country	:	US
Telephone Number	:	727-667-1468
Fax Number	:

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

Provider Enumeration Date	:	05/03/2010
Last Update Date	:	04/02/2026

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Directions to “ JANICE TUERS ROY PTA” Practice Location

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