Individual provider · Type 1 NPI

Azana J. Ezekiel, PTA

Physical Therapy Assistant · Lorton, VA

NPI number 1265111850 Active

Practice location

9455 Lorton Market St Ste 201
Lorton, VA 22079-1965

Mailing address

135 N Park Pl Ste 210
Stockbridge, GA 30281-7209

Other practice locations

  • 501 Adesa Blvd, Lenoir City, TN 37771-6725 · (865) 333-1461
  • 101 Fort Sanders West Blvd, Knoxville, TN 37922-3342 · (865) 895-3000
  • 135 N Park Pl Ste 210, Stockbridge, GA 30281-7209 · (770) 627-0869

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X7924 (TN)

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 …

4 other providers at this address

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About NPI 1265111850

Azana J. Ezekiel, PTA's National Provider Identifier is 1265111850, issued on Jul 12, 2023. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Lorton, VA. The record was last updated on Sep 24, 2023.