Individual provider · Type 1 NPI

Sophia Renae Cummings, PTA

Physical Therapy Assistant · St. Clair Shores, MI

NPI number 1649166398 Active

Practice location

23829 Little Mack Ave
St. Clair Shores, MI 48080-1186

Call (586) 412-8757 Map

Mailing address

12854 Windsor Ct
Sterling Heights, MI 48313-4175

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X5502008089 (MI)

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 1649166398

Sophia Renae Cummings, PTA's National Provider Identifier is 1649166398, issued on Jun 17, 2025. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in St. Clair Shores, MI. The record was last updated on Jun 17, 2025.