Erin Adamczyk, PTA

Individual provider Active NPI Physical Therapy Assistant · Queen Creek, AZ

NPI 1104688357 · NPPES record last updated Jan 24, 2024

Key facts

NPI
1104688357
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapy Assistant 225200000X
License
PTA-012156 (AZ)
Practice address
21576 S Ellsworth Loop Rd Ste 108
Queen Creek, AZ 85142-1068
Phone
(602) 737-2275
NPI assigned
Jan 24, 2024
Sex
Female
Sole proprietor
No

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
PTA-012156AZMDPhysical Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X PTA-012156 AZ Yes

Addresses

Primary practice location

21576 S Ellsworth Loop Rd Ste 108
Queen Creek, AZ 85142-1068

Mailing address

21576 S Ellsworth Loop Rd Ste 108
Queen Creek, AZ 85142-1068
Phone (602) 737-2275

Other providers in Queen Creek, AZ

All providers in Queen Creek, AZ · Physical Therapy Assistant in Arizona

Sources for this page

Verify at the official NPI Registry.