Individual provider · Type 1 NPI

Michael Angelo Green, PTA

Physical Therapy Assistant · Wilkes Barre, PA

NPI number 1427175181 Active

Practice location

440 N River St
Wilkes Barre, PA 18702-2631

Call (570) 825-5611 Map

Mailing address

RR 3 Box 114
Dalton, PA 18414-9415

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000XTE-001109-L (PA)

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 1427175181

Michael Angelo Green, PTA's National Provider Identifier is 1427175181, issued on Mar 26, 2007. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Wilkes Barre, PA. The record was last updated on Jul 8, 2007.