Individual provider · Type 1 NPI

Felicia Diane Hackerott, PTA

Physical Therapy Assistant · Tigard, OR

NPI number 1407231160 Active

Practice location

16485 SW Pacific Hwy
Tigard, OR 97224-3446

Call (503) 620-5141 Map

Mailing address

25117 SW Parkway Ave Ste D
Wilsonville, OR 97070-9697

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X09217 (OR)

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 1407231160

Felicia Diane Hackerott, PTA's National Provider Identifier is 1407231160, issued on Jul 23, 2015. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Tigard, OR. The record was last updated on Jul 23, 2015.