Individual provider · Type 1 NPI

Kevin Phelan

Physical Therapy Assistant · Bay Shore, NY

NPI number 1689331613 Active

Practice location

94 W Main St
Bay Shore, NY 11706-8365

Call (631) 983-3724 Map

Mailing address

576 Broadhollow Rd Ste Proex
Melville, NY 11747-5002

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X007659

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 1689331613

Kevin Phelan's National Provider Identifier is 1689331613, issued on Nov 24, 2021. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Bay Shore, NY. The record was last updated on Nov 24, 2021.