Treva Irene Atwell, CPTA

Individual provider Active NPI Physical Therapy Assistant · Salina, KS

NPI 1104132562 · NPPES record last updated Nov 5, 2012

Key facts

NPI
1104132562
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapy Assistant 225200000X
License
14-00101 (KS)
Practice address
631 E Crawford St Ste 220
Salina, KS 67401-5116
Phone
(785) 825-2323
Fax
(785) 825-2325
NPI assigned
Aug 24, 2010
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
14-00101KSMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Southwind Physical Therapy Inc. Past
since Mar 17, 2003
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 14-00101 KS Yes

Addresses

Primary practice location

631 E Crawford St Ste 220
Salina, KS 67401-5116

Mailing address

631 E Crawford St Ste 220
Salina, KS 67401-5116
Phone (785) 825-2323

Other providers in Salina, KS

All providers in Salina, KS · Physical Therapy Assistant in Kansas

Sources for this page

Verify at the official NPI Registry.