Ivan Gresham
NPI 1457789653 · Physical Therapy Assistant · Callahan, FL
Ivan Gresham is a Physical Therapy Assistant provider in Callahan, FL (NPI 1457789653).
Provider details
- NPI number
- 1457789653
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- PTA24242 (FL)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 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
Mailing address
Registry dates
- Enumerated
- 2013-10-24
- Last updated
- 2013-10-24
Frequently asked questions
- What is Ivan Gresham's NPI number?
- Ivan Gresham's National Provider Identifier (NPI) is 1457789653, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Ivan Gresham's specialty?
- Ivan Gresham is listed in the NPPES registry with a primary specialty of Physical Therapy Assistant (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Ivan Gresham located?
- Ivan Gresham's practice location on file with NPPES is 45390 Green Ave, Callahan, FL 32011-3711.
- What is Ivan Gresham's phone number?
- The practice phone number listed in the NPPES registry for Ivan Gresham is (904) 879-1223.
- Is Ivan Gresham's NPI active?
- Yes — Ivan Gresham's NPI (1457789653) is active in the NPPES registry as of the last update on 2013-10-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.