Individual provider · Type 1 NPI

Edward Wormold, PTA

Physical Therapy Assistant · Southampton, NY

NPI number 1316917560 Active

Practice location

167 Main St
Southampton, NY 11968-4823

Call (631) 283-4190 Map

Fax (631) 283-7650

Mailing address

18 Palo Alto Dr
Hampton Bays, NY 11946-2811

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X003464-1 (NY)

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 1316917560

Edward Wormold, PTA's National Provider Identifier is 1316917560, issued on Jan 23, 2006. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Southampton, NY. The record was last updated on Jul 13, 2026.