Individual provider · Type 1 NPI

James Black, PTA

Physical Therapy Assistant · Mission Viejo, CA

NPI number 1053558684 Active

Practice location

213 California Ct
Mission Viejo, CA 92692-4082

Mailing address

213 California Street
Mission Viejo, CA 92692

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X3319 (CA)

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 1053558684

James Black, PTA's National Provider Identifier is 1053558684, issued on Jan 20, 2009. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Mission Viejo, CA. The record was last updated on Jan 20, 2009.