Individual provider · Type 1 NPI

Timothy Gagan, PTA

Physical Therapy Assistant · Los Angeles, CA

NPI number 1386005809 Active

Practice location

533 S Fairfax Ave
Los Angeles, CA 90036-3129

Call (323) 930-4815 Map

Mailing address

3176 Atwater Ave
Los Angeles, CA 90039-2404

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X10870 (CA)

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 1386005809

Timothy Gagan, PTA's National Provider Identifier is 1386005809, issued on Mar 10, 2016. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Los Angeles, CA. The record was last updated on Mar 10, 2016.