Individual provider · Type 1 NPI

Glen Gomez, PTA

Physical Therapy Assistant · Romeoville, IL

NPI number 1336892744 Active

Practice location

605 Edward Dr
Romeoville, IL 60446-6507

Call (331) 808-1362 Map

Mailing address

3816 Petra Ct
Naperville, IL 60564-7113

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X160.005645 (IL)

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 1336892744

Glen Gomez, PTA's National Provider Identifier is 1336892744, issued on Jan 27, 2022. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Romeoville, IL. The record was last updated on Jan 27, 2022.