Individual provider · Type 1 NPI

Leo Mirochnik, PTA

Physical Therapy Assistant · Staten Island, NY

NPI number 1003682808 Active

Practice location

1351 Forest Ave
Staten Island, NY 10302-2049

Call (917) 722-6883 Map

Mailing address

21 Arden Ave
Staten Island, NY 10312-1206

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X014055 (NY)

Physical Therapy Assistant: (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 Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

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About NPI 1003682808

Leo Mirochnik, PTA's National Provider Identifier is 1003682808, issued on Dec 1, 2023. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Staten Island, NY. The record was last updated on Dec 1, 2023.