Individual provider · Type 1 NPI

Angela Summy, PTA

Physical Therapy Assistant · Macomb, IL

NPI number 1104188481 Active

Practice location

130 S Lafayette St, Suite A
Macomb, IL 61455-2289

Mailing address

135 N Williamsburg Dr
Bloomington, IL 61704-3528

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X160005854 (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 1104188481

Angela Summy, PTA's National Provider Identifier is 1104188481, issued on Jun 12, 2012. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Macomb, IL. The record was last updated on Jun 12, 2012.