Individual provider · Type 1 NPI

Russell John Wareham, PTA

Physical Therapy Assistant · Indianapolis, IN

NPI number 1619717816 Active

Practice location

6002 E 38th St
Indianapolis, IN 46226-5614

Call (317) 880-0280 Map

Mailing address

720 Eskenazi Ave
Indianapolis, IN 46202-5187

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X06002776A (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 1619717816

Russell John Wareham, PTA's National Provider Identifier is 1619717816, issued on May 28, 2024. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Indianapolis, IN. The record was last updated on May 28, 2024.