Individual provider · Type 1 NPI

Shannon E. Gill, PTA

Physical Therapy Assistant · Portage, IN

NPI number 1134326341 Active

Practice location

6040 Lute Rd
Portage, IN 46368-5008

Call (219) 763-6858 Map

Fax (219) 763-4858

Mailing address

8211 W 127th Ave
Cedar Lake, IN 46303-8873

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X06001802A (IN)

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 1134326341

Shannon E. Gill, PTA's National Provider Identifier is 1134326341, issued on Jun 29, 2007. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Portage, IN. The record was last updated on Jul 8, 2007.