Individual provider · Type 1 NPI

Mariah Jordan, PTA

Physical Therapy Assistant · Fort Wayne, IN

NPI number 1528734571 Active

Practice location

4180 Sage Bluff Xing
Fort Wayne, IN 46804-2363

Call (260) 443-7300 Map

Mailing address

9921 Woodland Rdg W
Fort Wayne, IN 46804-4788

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X06006248A (IN)

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 1528734571

Mariah Jordan, PTA's National Provider Identifier is 1528734571, issued on Aug 19, 2021. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Fort Wayne, IN. The record was last updated on Aug 19, 2021.