Individual provider · Type 1 NPI

Ajay S. Mampilly

Physical Therapy Assistant · Emerson, NJ

NPI number 1073947321 Active

Practice location

100 Kinderkamack Rd
Emerson, NJ 07630-1828

Mailing address

67 Rollinson St
West Orange, NJ 07052-4625

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X40QB00300600 (NJ)

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 1073947321

Ajay S. Mampilly's National Provider Identifier is 1073947321, issued on Aug 22, 2013. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Emerson, NJ. The record was last updated on Aug 22, 2013.