Individual provider · Type 1 NPI

Jay Fasteen, PTA

Physical Therapy Assistant · Portland, OR

NPI number 1356741011 Active

Practice location

5601 SE 122nd Ave
Portland, OR 97236-4601

Call (503) 761-3181 Map

Mailing address

14005 SE 20th St
Vancouver, WA 98683-7638

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X09022 (OR)
Physical Therapy Assistant 225200000XP1 60427509 (WA)

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 1356741011

Jay Fasteen, PTA's National Provider Identifier is 1356741011, issued on Sep 1, 2014. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Portland, OR. The record was last updated on Sep 3, 2014.