Theresa Lee Houghton, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

004546-1 Issued in NY

Practice address

29 N Walnut St
Attica, NY 14011-1113

Phone

(585) 591-2096

NPI assigned

Aug 29, 2011

Last updated

Aug 29, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1314576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314576000000",
    "number": "1366722894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 N WALNUT ST",
            "city": "ATTICA",
            "state": "NY",
            "postal_code": "140111113",
            "telephone_number": "585-591-2096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 N WALNUT ST",
            "city": "ATTICA",
            "state": "NY",
            "postal_code": "140111113",
            "telephone_number": "585-591-2096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOUGHTON",
        "first_name": "THERESA",
        "middle_name": "LEE",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-29",
        "last_updated": "2011-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NY",
            "license": "004546-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Darren John Fox, P.T.A, A.T.C
• Karen E Grisko, RPH
• Reed P Haag, M.D.
• Rachel Jo Harmon, OTR/L
• Tara L Hay, LCSW-R
• Necole Marie Hubbard, OTR/L
• Ninian Ikekwem
• Tricia Janes, LMSW
• Ned C Jordan, RPA-C
• Young Sung Jun, M.D.

• Physical Therapy Assistant in Attica, NY
• Providers in Attica, NY by specialty
• Physical Therapy Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.