Irina Chudnovskaya
Individual provider Active NPI Physical Therapy Assistant · Feasterville Trevose, PA
NPI 1013560440 · NPPES record last updated Jul 24, 2019
Key facts
- NPI
- 1013560440
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- Practice address
- 1933 Melissa Dr
Feasterville Trevose, PA 19053-2300 - Phone
- (267) 471-1757
- NPI assigned
- Jul 24, 2019
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | PA | Yes |
Addresses
Primary practice location
1933 Melissa Dr
Feasterville Trevose, PA 19053-2300
Mailing address
1933 Melissa Dr
Feasterville Trevose, PA 19053-2300
Other providers in Feasterville Trevose, PA
- Caring Partners of Philadelphia Home Care. LLC
- Carmen Maria Carroll
- Rhona B Case
- Arvind Ramachandrarao Cavale
- Olivia Erin Chin
- Iryna Chumakova
- Victoria Ciganik
- Amanda Emalee Cirone
- Evan Cohen
- Comfort Home Care, Inc.
All providers in Feasterville Trevose, PA · Physical Therapy Assistant in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 24, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.