Individual provider · Type 1 NPI

Carlos Alberto Ponce Jr.

Physical Therapy Assistant · Evanston, IL

NPI number 1619764909 Active

Practice location

3200 Grant St
Evanston, IL 60201-1903

Call (847) 570-3422 Map

Mailing address

10055 Frontage Rd Unit A
Skokie, IL 60077-1058

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X160.010389 (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 1619764909

Carlos Alberto Ponce Jr.'s National Provider Identifier is 1619764909, issued on Apr 22, 2025. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Evanston, IL. The record was last updated on Apr 22, 2025.