Trent M Roadcap, PTA
Individual provider Active NPI Physical Therapy Assistant · Halifax, PA
NPI 1265914899 · NPPES record last updated Aug 30, 2018
Key facts
- NPI
- 1265914899
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- TEI001791 (PA)
- Practice address
- 62 Roadcap LN
Halifax, PA 17032-9085 - Phone
- (717) 571-9851
- NPI assigned
- Aug 30, 2018
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| TEI001791 | PA | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | TEI001791 | PA | Yes |
Addresses
Primary practice location
62 Roadcap LN
Halifax, PA 17032-9085
Mailing address
62 Roadcap LN
Halifax, PA 17032-9085
Phone (717) 571-9851
Other providers in Halifax, PA
- Pinnacle Health Medical Services
- Olga Stykova Platt
- Meckenzie Elizabeth Quigley
- Resilient Roots Therapy LLC
- Rite Aid of Pennsylvania LLC
- Corynne Rutz
- Tara Saksek
- Juliana Rose Shuty
- Jessica Marie Simmons
- Lylah Dawn Starks
All providers in Halifax, 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 Aug 30, 2018. 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.