Troy Teats, PTA

Individual provider Active NPI Physical Therapy Assistant · Northumberland, PA

NPI 1215502802 · NPPES record last updated May 25, 2021

Key facts

NPI
1215502802
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapy Assistant 225200000X
License
TEI000240 (PA)
Practice address
58 Neitz Rd
Northumberland, PA 17857-9608
Phone
(570) 473-2363
Fax
(570) 473-3199
NPI assigned
May 25, 2021
Sex
Male
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
TEI000240PAMDPhysical Therapy Assistant
TEI000240RIMDPhysical Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X TEI000240 RI
Physical Therapy Assistant 225200000X TEI000240 PA Yes

Addresses

Primary practice location

58 Neitz Rd
Northumberland, PA 17857-9608

Mailing address

2367 Hollow Rd
Winfield, PA 17889-8728
Phone (570) 939-7136

Other providers in Northumberland, PA

All providers in Northumberland, PA · Physical Therapy Assistant in Pennsylvania

Sources for this page

Verify at the official NPI Registry.