Melissa Kay Ault, PTA

Individual provider Active NPI Physical Therapy Assistant · Rochester, PA

NPI 1639877467 · NPPES record last updated Feb 21, 2023

Key facts

NPI
1639877467
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapy Assistant 225200000X
License
TEI002211 (PA)
Practice address
174 Virginia Ave
Rochester, PA 15074-1785
Phone
(724) 775-6400
NPI assigned
Feb 21, 2023
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
TEI002211PAMDPhysical Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X TEI002211 PA Yes

Addresses

Primary practice location

174 Virginia Ave
Rochester, PA 15074-1785

Mailing address

5770 N Edinburg Rd
Edinburg, PA 16116-3804
Phone (724) 651-0440

Other names

  • Melissa Kay Daley Former name

Other providers in Rochester, PA

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

Sources for this page

Verify at the official NPI Registry.