Provider Demographics
NPI:1073496485
Name:JONES, ALEXA ANGELA (PTA)
Entity type:Individual
Prefix:MS
First Name:ALEXA
Middle Name:ANGELA
Last Name:JONES
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4169 ALLIGATOR FLAG CIR
Mailing Address - Street 2:
Mailing Address - City:MELBOURNE
Mailing Address - State:FL
Mailing Address - Zip Code:32904-8195
Mailing Address - Country:US
Mailing Address - Phone:407-600-5202
Mailing Address - Fax:
Practice Address - Street 1:4169 ALLIGATOR FLAG CIR
Practice Address - Street 2:
Practice Address - City:MELBOURNE
Practice Address - State:FL
Practice Address - Zip Code:32904-8195
Practice Address - Country:US
Practice Address - Phone:407-600-5202
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-31
Last Update Date:2025-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA54090225200000X
FL31341225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant