Jill Renee Kozhevnikov in Needham - Physical Therapy Assistant

Jill Renee Kozhevnikov - NPI 1154596005

Jill Renee Kozhevnikov is a Physical Therapy Assistant in Needham, Massachusetts. Jill Renee Kozhevnikov practices all healthcare services and medical treatments related to Physical Therapy Assistant. The NPI Number for Jill Renee Kozhevnikov is 1154596005. The last update date is 2008-04-22.

Jill Renee Kozhevnikov's current location address is 61 Tillotson Rd, Needham, Massachusetts. You can contact this provider via phone number 6173197175. The mailing address for Jill Renee Kozhevnikov is 61 Tillotson Rd, Needham, Massachusetts. To know further, please read the information below!

Provider Profile Detail

Provider Name Jill Renee Kozhevnikov
Address 61 Tillotson Rd, Needham, Massachusetts
Phone Number 6173197175
Fax Number
Sole Proprietor Y
Credentials PTA

NPI Number Detail

NPI Number 1154596005
Provider Enumeration Date 2008-04-22
Last Updated Date 2008-04-22

Provider Mailing Address Detail

Address 61 Tillotson Rd
City Needham
State Massachusetts (MA)
Post Code 24943280
Phone Number 6173197175
Fax Number

Provider's Primary Taxonomy Detail

Speciality Physical Therapy Assistant
Taxonomy 225200000X
Licence No 7779
Definition:
(1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Post

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FAQs about Jill Renee Kozhevnikov

What is the unique 10-digit identifier code assigned to Jill Renee Kozhevnikov by the Centers for Medicare & Medicaid Services?

The Jill Renee Kozhevnikov has been issued the NPI (National Provider Identifier) 1154596005 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please provide the complete physical location address of Jill Renee Kozhevnikov?

The Jill Renee Kozhevnikov is physically situated at 61 Tillotson Rd, in the city of Needham, state of MA, with the postal code 24943280.

What is Jill Renee Kozhevnikov's specialized field of practice, and what is the corresponding taxonomy classification code?

The Jill Renee Kozhevnikov's area of specialization is Physical Therapy Assistant, and the corresponding taxonomy code that categorizes this field of practice is 225200000X.

On what date did Jill Renee Kozhevnikov receive its 1154596005 assignment from the Centers for Medicare & Medicaid Services?

The Jill Renee Kozhevnikov was assigned its 1154596005 on 2008-04-22, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details pertaining to Jill Renee Kozhevnikov last refreshed?

The information related to the Jill Renee Kozhevnikov, including its address, specialty, and other relevant details, was last updated on 2008-04-22.

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