Jillian M Andrikanich, LPTA

Individual provider Active NPI Physical Therapy Assistant · Aurora, OH

NPI 1780243642 · NPPES record last updated Jun 13, 2019

Key facts

NPI
1780243642
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapy Assistant 225200000X
License
PTA011280 (OH)
Practice address
889 N Aurora Rd
Aurora, OH 44202-9537
Phone
(330) 954-7177
Fax
(330) 995-8279
NPI assigned
Jun 13, 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

LicenseStateTypeSpecialty
PTA011280OHMDPhysical Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X PTA011280 OH Yes

Addresses

Primary practice location

889 N Aurora Rd
Aurora, OH 44202-9537

Mailing address

889 N Aurora Rd
Aurora, OH 44202-9537
Phone (330) 954-7177

Other providers in Aurora, OH

All providers in Aurora, OH · Physical Therapy Assistant in Ohio

Sources for this page

Verify at the official NPI Registry.