Andrew Joseph Chase, PTA
Individual provider Active NPI Physical Therapy Assistant · Corry, PA
NPI 1669837985 · NPPES record last updated Dec 31, 2015
Key facts
- NPI
- 1669837985
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- TE1002979 (PA)
- Practice address
- 640 Worth St
Corry, PA 16407-8515 - Phone
- (814) 664-9606
- Fax
- (814) 665-0036
- NPI assigned
- Dec 31, 2015
- 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 |
|---|---|---|---|
| TE1002979 | PA | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | TE1002979 | PA | Yes |
Addresses
Primary practice location
640 Worth St
Corry, PA 16407-8515
Mailing address
1100 Shawnee Road
Lima, OH 45805
Phone (419) 999-2030
Other providers in Corry, PA
- Sarah Elizabeth Breon
- Veronica Brown
- Lindsey Butler
- Jason Richard Carlson
- Chad a Meeker DC LLC
- Ashley Church
- Randall B Clapp
- Brooke Marie Clark
- Bryan Colligan
- Matthew Copley
All providers in Corry, 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 Dec 31, 2015. 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.