Michael Anastasiou, PTA

Individual provider Active NPI Physical Therapy Assistant · Easton, PA

NPI 1326499435 · NPPES record last updated Nov 28, 2018

Key facts

NPI
1326499435
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapy Assistant 225200000X
License
TEI003989 (PA)
Practice address
3800 Mountain View Ave
Easton, PA 18045-5711
Phone
(732) 491-9299
NPI assigned
Jun 29, 2016
Reactivated
Nov 28, 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

LicenseStateTypeSpecialty
TEI003989PAMDPhysical Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X TEI003989 PA Yes

Addresses

Primary practice location

3800 Mountain View Ave
Easton, PA 18045-5711

Mailing address

3800 Mountain View Ave
Easton, PA 18045-5711
Phone (732) 491-9299

Other providers in Easton, PA

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

Sources for this page

Verify at the official NPI Registry.