Individual provider · Type 1 NPI

Andre William De Jesus Jr., PTA

Physical Therapy Assistant · Syracuse, NY

NPI number 1497475917 Active

Practice location

800 Irving Ave
Syracuse, NY 13210-2716

Call (315) 425-4400 Map

Mailing address

102 Lionel Ave
Solvay, NY 13209-2410

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X013346-01 (NY)

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 1497475917

Andre William De Jesus Jr., PTA's National Provider Identifier is 1497475917, issued on Sep 2, 2022. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Syracuse, NY. The record was last updated on Sep 2, 2022.