Individual provider · Type 1 NPI

Carli Bushong, PTA

Physical Therapy Assistant · Ligonier, IN

NPI number 1144856816 Active

Practice location

1464 Lincolnway S
Ligonier, IN 46767-9601

Fax (260) 894-3171

Mailing address

11109 Parkview Plaza Dr # 117
Fort Wayne, IN 46845-1701

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X06004846A (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 1144856816

Carli Bushong, PTA's National Provider Identifier is 1144856816, issued on Mar 13, 2020. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Ligonier, IN. The record was last updated on Nov 2, 2020.