IndividualActive
Amanda Gaitan
NPI 1114282456 · Physical Therapy Assistant · Port Orange, FL
Provider details
- NPI number
- 1114282456
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 2084778 (TX)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
5535 S Williamson Blvd
Suite 774
Port Orange, FL 32128-8311
Phone: (386) 756-4395
Fax: (386) 944-7202
Street-level locationGet directions
Mailing address
5535 S Williamson Blvd
Port Orange, FL 32128-8311
Registry dates
- Enumerated
- 2012-07-12
- Last updated
- 2012-07-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.