Individual provider · Type 1 NPI

Thomas Jacob Butkovich, PTA

Physical Therapy Assistant · Reseda, CA

NPI number 1326594243 Active

Practice location

7120 Corbin Ave
Reseda, CA 91335-3618

Mailing address

118 Medical Drive, Lifespan Therapy
Carmel, IN 46032

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant 225200000X06005233A (IN)
Physical Therapy Assistant 225200000X48919 (CA)
Physical Therapy Assistant Primary 225200000X2015036822 (MO)

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 1326594243

Thomas Jacob Butkovich, PTA's National Provider Identifier is 1326594243, issued on Aug 31, 2016. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Reseda, CA. The record was last updated on May 20, 2025.