Ronnie Nottingham, PTA
Individual provider Active NPI Physical Therapy Assistant · Fate, TX
NPI 1982185435 · NPPES record last updated Aug 23, 2018
Key facts
- NPI
- 1982185435
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 2041226
- Practice address
- 180 Hampton Dr
Fate, TX 75087-6886 - Phone
- (903) 217-6407
- NPI assigned
- Aug 23, 2018
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 2041226 | Yes |
Addresses
Primary practice location
180 Hampton Dr
Fate, TX 75087-6886
Mailing address
406 S Main St
Winnsboro, TX 75494-3226
Other providers in Fate, TX
- Mobl PT LLC
- Rebecca Juliet Nansubuga Mulima
- Jacqueline Murphy
- Lisa Neal
- Nestiva Home Health Inc
- NXT Level Courier Transporation
- Joseph Tamunoprinye Ogolo
- Chidi-Ebere Q Okafor
- Optimal Wellness Global Health Care Services, LLC
- Rhonda Kay Osei-Bonsu
All providers in Fate, TX · Physical Therapy Assistant in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 23, 2018. 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.