Stacy Lynn Aaron, PTA

Individual provider Active NPI Physical Therapy Assistant · Warwick, RI

NPI 1225300023 · NPPES record last updated Feb 8, 2012

Key facts

NPI
1225300023
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapy Assistant 225200000X
License
PTA00756 (RI)
Practice address
57 Lane 4
Warwick, RI 02888-5611
Phone
(401) 654-7019
NPI assigned
Feb 8, 2012
Sex
Female
Sole proprietor
Yes

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
PTA00756RIMDPhysical Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X PTA00756 RI Yes

Addresses

Primary practice location

57 Lane 4
Warwick, RI 02888-5611

Mailing address

57 Lane 4
Warwick, RI 02888-5611
Phone (401) 654-7019

Other providers in Warwick, RI

All providers in Warwick, RI · Physical Therapy Assistant in Rhode Island

Sources for this page

Verify at the official NPI Registry.