Individual provider · Type 1 NPI

John Degenaro, PTA

Physical Therapy Assistant · Athens, GA

NPI number 1104900869 Active

Practice location

1765 Old West Broad St
Athens, GA 30606-2853

Call (706) 549-1663 Map

Fax (706) 546-8792

Mailing address

1765 Old West Broad St Bldg 2-200
Athens, GA 30606-2887

Other practice locations

  • 3440 Highway 81, Loganville, GA 30052-9112 · (770) 554-5009

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000XPTA000612 (GA)

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 1104900869

John Degenaro, PTA's National Provider Identifier is 1104900869, issued on Oct 25, 2006. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Athens, GA. The record was last updated on Jun 8, 2022.