Maxime Prieto
Individual provider Active NPI Physical Therapy Assistant · Morton, PA
NPI 1679126502 · NPPES record last updated Jul 19, 2019
Key facts
- NPI
- 1679126502
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- TE012246 (PA)
- Practice address
- 2233 Theresa Ave
Morton, PA 19070-1235 - Phone
- (215) 303-1721
- NPI assigned
- Jul 19, 2019
- 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 |
|---|---|---|---|
| TE012246 | PA | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | TE012246 | PA | Yes |
Addresses
Primary practice location
2233 Theresa Ave
Morton, PA 19070-1235
Mailing address
2233 Theresa Ave
Morton, PA 19070-1235
Other providers in Morton, PA
- Nicole Mitchell
- Philip Douglas Morrison
- Lisa O'Brien
- Kelly Ongsueng
- Precision Ortho Supply LLC
- Qsmedcare
- Andrew Reimann
- Lakieza Chariq Richardson
- Olivia Rosenberger
- Joseph Nicholas Sciasci
All providers in Morton, 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 Jul 19, 2019. 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.