John Degenaro in Athens - Physical Therapy Assistant
John Degenaro - NPI 1104900869
John Degenaro is a Physical Therapy Assistant in Athens, Georgia. John Degenaro practices all healthcare services and medical treatments related to Physical Therapy Assistant. The NPI Number for John Degenaro is 1104900869. The last update date is 2022-06-08.
John Degenaro's current location address is 1765 Old West Broad St Bldg 2-200, Athens, Georgia. You can contact this provider via phone number 7065491663 and fax number 7065468792. The mailing address for John Degenaro is 1765 Old West Broad St Bldg 2-200, Athens, Georgia. To know further, please read the information below!
Provider Profile Detail
Provider Name | John Degenaro |
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Address | 1765 Old West Broad St Bldg 2-200, Athens, Georgia |
Phone Number | 7065491663 |
Fax Number | 7065468792 |
Sole Proprietor | N |
Credentials | PTA |
NPI Number Detail
NPI Number | 1104900869 |
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Provider Enumeration Date | 2006-10-25 |
Last Updated Date | 2022-06-08 |
Provider Mailing Address Detail
Address | 1765 Old West Broad St Bldg 2-200 |
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City | Athens |
State | Georgia (GA) |
Post Code | 306062887 |
Phone Number | 7065491663 |
Fax Number | 7065468792 |
Provider's Primary Taxonomy Detail
Speciality | Physical Therapy Assistant |
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Taxonomy | 225200000X |
Licence No | PTA000612 |
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 |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
14340957 | CAQH NUMBER |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to John Degenaro by the Centers for Medicare & Medicaid Services?
The John Degenaro has been issued the NPI (National Provider Identifier) 1104900869, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where John Degenaro is geographically located?
The John Degenaro is physically situated at the following location: 1765 Old West Broad St Bldg 2-200, Athens, GA, 306062887.
What is John Degenaro's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for John Degenaro is Physical Therapy Assistant, and the corresponding taxonomy classification code for this specialized field is 225200000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1104900869 to John Degenaro?
The John Degenaro received its 1104900869 assignment from the Centers for Medicare & Medicaid Services on 2006-10-25.
As of what date was the information pertaining to John Degenaro, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to John Degenaro, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2022-06-08.
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