OrganizationActive
Gentle Sticks on Wheels
NPI 1184397713 · Technician · Fruitland Park, FL
Provider details
- NPI number
- 1184397713
- Entity type
- Organization
- Primary specialty
- TechnicianNursing Service Related Providers
- Organization subpart
- No
- Authorized official
- Alysha Pettis, Owner(352) 431-1193
Specialties & taxonomies
Nursing Service Related Providers
- Pathology Technician246R00000X
Technologists, Technicians & Other Technical Service Providers
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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
1829 Forest Glen Dr
Fruitland Park, FL 34731-6565
Phone: (352) 431-1193
Street-level locationGet directions
Mailing address
1829 Forest Glen Dr
Fruitland Park, FL 34731-6565
Registry dates
- Enumerated
- 2021-07-29
- Last updated
- 2021-09-13
- Certified
- 2021-09-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.