Individual provider · Type 1 NPI

Owen Mackenzie Roll, PTA

Physical Therapy Assistant · Thornton, CO

NPI number 1053917278 Active

Practice location

12080 Bellaire Way
Thornton, CO 80241-3600

Call (303) 450-2700 Map

Mailing address

515 S 42nd St
Boulder, CO 80305-5906

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000XPTA.0014924 (CO)

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 1053917278

Owen Mackenzie Roll, PTA's National Provider Identifier is 1053917278, issued on Dec 11, 2020. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Thornton, CO. The record was last updated on Dec 11, 2020.