Brenda Lee Archer, PTA
Individual provider Active NPI Physical Therapy Assistant · Pottsville, PA
NPI 1386960508 · NPPES record last updated Apr 13, 2010
Key facts
- NPI
- 1386960508
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- TE1000199 (PA)
- Practice address
- 1510 Highway 61 South
Pottsville, PA 17901-8409 - Phone
- (570) 385-5522
- NPI assigned
- Apr 13, 2010
- Sex
- Female
- 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 |
|---|---|---|---|
| TE1000199 | PA | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | TE1000199 | PA | Yes |
Addresses
Primary practice location
1510 Highway 61 South
Pottsville, PA 17901-8409
Mailing address
1498 Mountain Rd
Pine Grove, PA 17963-8695
Phone (570) 449-8205
Other providers in Pottsville, PA
- Ashley N Anthony
- Anthracite Emergency Physicians
- Anthracite Imaging Associates, P.C.
- Melissa M Antolick
- Appalachian Rehabilitation, Inc
- Sayed Arian
- Gabrielle Arroyo
- Ileana Asanache
- Lisa M Ashman
- Mohammad Aslam
All providers in Pottsville, 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 Apr 13, 2010. 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.