Individual provider · Type 1 NPI

Alan Gimmy, PTA

Physical Therapy Assistant · Marion, IL

NPI number 1083283311 Active

Practice location

2401 W Main St
Marion, IL 62959-1188

Call (618) 751-0066 Map

Mailing address

6759 Day Rd
Carbondale, IL 62902-0497

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X160005863 (IL)

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 1083283311

Alan Gimmy, PTA's National Provider Identifier is 1083283311, issued on Jun 21, 2021. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Marion, IL. The record was last updated on Jun 21, 2021.