Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Dustin Ely

Individual provider Physical Therapy Assistant · NPI 1871907808

Mr. Dustin Ely is a Physical Therapy Assistant in Lakeland, Florida. Licensed in Florida. Registered with an NPI since 2014.

Licensed in
FL
In the registry since
2014

Practice location Address checks out

411 E Orange St Ste 204
Lakeland, FL 33801-5054
Phone: (863) 617-9400
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence PTA22832 (FL)

Record details

NPI number1871907808
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 18, 2014
Last updated in NPPESJune 18, 2014

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