Jody Detweiler, PTA
Individual provider Active NPI Physical Therapy Assistant · Seven Fields, PA
NPI 1194069674 · NPPES record last updated Nov 21, 2012
Key facts
- NPI
- 1194069674
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- TE1002850 (PA)
- Practice address
- 200 Northpointe Cir
Suite 302
Seven Fields, PA 16046-7861 - Phone
- (215) 257-2751
- NPI assigned
- Nov 21, 2012
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| TE1002850 | PA | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | TE1002850 | PA | Yes |
Addresses
Primary practice location
200 Northpointe Cir
Suite 302
Seven Fields, PA 16046-7861
Mailing address
1930 Upper Ridge Rd
Green Lane, PA 18054-9418
Other providers in Seven Fields, PA
- Cranial Technologies, Inc.
- Laura Crimm
- Sarah Catherine Crowder
- Jennifer Lee Day
- De la Torre Orthotics & Prosthetics
- Dialysis Clinic Inc.
- Jamie Lee Diaz
- Adam Joseph Dillner
- Tamara Elizabeth Dragon
- Kelly Dvorsky
All providers in Seven Fields, 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 Nov 21, 2012. 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.