Adrienne K. Regions, PTA

Individual provider Active NPI Physical Therapy Assistant · Newton, MS

NPI 1700105863 · NPPES record last updated May 27, 2010

Key facts

NPI
1700105863
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapy Assistant 225200000X
License
PTA2704 (MS)
Practice address
252 Northside Dr
Newton, MS 39345-9756
Phone
(601) 683-6577
Fax
(601) 683-6732
NPI assigned
May 27, 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

LicenseStateTypeSpecialty
PTA2704MSMDPhysical Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X PTA2704 MS Yes

Addresses

Primary practice location

252 Northside Dr
Newton, MS 39345-9756

Mailing address

1314 19TH Ave
Meridian, MS 39301-4116
Phone (601) 703-4282

Other providers in Newton, MS

All providers in Newton, MS · Physical Therapy Assistant in Mississippi

Sources for this page

Verify at the official NPI Registry.