Individual provider · Type 1 NPI

Joshua Eggleston, PTA

Physical Therapy Assistant · Portage, IN

NPI number 1699134874 Active

Practice location

3691 Willowcreek Rd, Suite 100
Portage, IN 46368-5076

Fax (219) 759-1989

Mailing address

8259 Wicker Ave
St. John, IN 46373-8878

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X06003593A (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 1699134874

Joshua Eggleston, PTA's National Provider Identifier is 1699134874, issued on Feb 17, 2016. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Portage, IN. The record was last updated on Feb 17, 2016.