Individual provider · Type 1 NPI

Mark Defazio, PTA

Physical Therapy Assistant · Boston, MA

NPI number 1619503125 Active

Practice location

185 Harrison Ave
Boston, MA 02111-1804

Mailing address

39 Chipman St
Medford, MA 02155-4058

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X9532 (MA)

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 1619503125

Mark Defazio, PTA's National Provider Identifier is 1619503125, issued on Mar 16, 2020. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Boston, MA. The record was last updated on Mar 16, 2020.