Individual provider · Type 1 NPI

Shannon Kosmatka, PTA

Physical Therapy Assistant · Woodstock, IL

NPI number 1497212914 Active

Practice location

2406 Hartland Rd
Woodstock, IL 60098-9763

Call (815) 338-0412 Map

Mailing address

4560 SE International Way Ste 100
Milwaukie, OR 97222-4628

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X160.006377 (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 1497212914

Shannon Kosmatka, PTA's National Provider Identifier is 1497212914, issued on Feb 21, 2019. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Woodstock, IL. The record was last updated on Feb 21, 2019.