Terry Pantig, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

06002163A Issued in IN

Practice address

1950 Ridgedale Rd
South Bend, IN 46614-2243

Phone

(574) 291-6722

NPI assigned

Jun 29, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Specialty

Undefined Non-Physician Type (Specify)

Education

Other, 1997

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1183075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1225235583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19167 GLENDALE AVE",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466372706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 RIDGEDALE RD",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466142243",
            "telephone_number": "574-291-6722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANTIG",
        "first_name": "TERRY",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "IN",
            "license": "06002163A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robin M Palisano-Wolfe, PTA
• Edna Pamatmat, M.D.
• Jolene Florence Pangani, ATC
• Luiz C Pantalena Filho, MD, PHD
• Maria Filipina Mariano Pantig, PT
• Ann Marie Papczynski, FNP
• John Raymond Parhm Jr., P.T.A.
• Gabriel Paris
• Ji Young Park
• Susan E Park, MD

• Physical Therapy Assistant in South Bend, IN
• Providers in South Bend, IN by specialty
• Physical Therapy Assistant in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.