Kathleen A Fadule, PTA
Individual provider Active NPI Physical Therapy Assistant · Perkasie, PA
NPI 1750403689 · NPPES record last updated Apr 27, 2012
Key facts
- NPI
- 1750403689
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- TE1001754 (PA)
- Practice address
- 1403 Shirley LN
Perkasie, PA 18944-2868 - Phone
- (888) 558-0300
- NPI assigned
- Apr 3, 2007
- 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 |
|---|---|---|---|
| 222416 | PA | MD | Basic Emergency Medical Technician |
| TE1001754 | PA | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | TE1001754 | PA | Yes |
| Basic Emergency Medical Technician | 146N00000X | 222416 | PA |
Addresses
Primary practice location
1403 Shirley LN
Perkasie, PA 18944-2868
Mailing address
619 Forrest Rd
Sellersville, PA 18960-1101
Other providers in Perkasie, PA
- Joanna Rose Earley
- Kimberly English-Murphy
- Enhanced Nutrition and Wellness, LLC
- Esbenshade Medical Care PC
- Jenna Grace Esposito
- Paul Fagerstrom
- Family Dentistry Alice H Moore DDS and Lorna L Petersen DMD PC
- Andrew Farag
- John Anthony Ferraro
- Samantha Nicole Finger
All providers in Perkasie, 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 27, 2012. 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.