Individual provider · Type 1 NPI

Nicholas Vincent Pisano, PTA/RD

Physical Therapy Assistant · Raleigh, NC

NPI number 1154840411 Active

Practice location

5301 Creedmoor Rd
Raleigh, NC 27612-3822

Call (919) 615-1658 Map

Fax (866) 314-8247

Mailing address

3001 Spring Forest Rd
Raleigh, NC 27616-2815

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000XA6141 (NC)

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 1154840411

Nicholas Vincent Pisano, PTA/RD's National Provider Identifier is 1154840411, issued on Sep 18, 2017. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Raleigh, NC. The record was last updated on Sep 18, 2017.