Provider Demographics
NPI:1144101056
Name:MCAULIFF, TROY JAMES (PTA, ATC)
Entity type:Individual
Prefix:MR
First Name:TROY
Middle Name:JAMES
Last Name:MCAULIFF
Suffix:
Gender:M
Credentials:PTA, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17 SAND DOLLAR DR
Mailing Address - Street 2:
Mailing Address - City:ORMOND BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32176-2188
Mailing Address - Country:US
Mailing Address - Phone:386-214-5489
Mailing Address - Fax:
Practice Address - Street 1:17 SAND DOLLAR DR
Practice Address - Street 2:
Practice Address - City:ORMOND BEACH
Practice Address - State:FL
Practice Address - Zip Code:32176-2188
Practice Address - Country:US
Practice Address - Phone:386-214-5489
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-09
Last Update Date:2025-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL68302255A2300X
FLPTA33037225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer