Individual provider · Type 1 NPI

Jesse Chase, PTA

Physical Therapy Assistant · Lawrenceville, GA

NPI number 1750005211 Active

Practice location

1404 Lawrenceville Suwanee Rd # A102
Lawrenceville, GA 30043-4331

Call (678) 749-0912 Map

Mailing address

548 Trip St
Grayson, GA 30017-7860

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000XPTA004639 (GA)

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 1750005211

Jesse Chase, PTA's National Provider Identifier is 1750005211, issued on Sep 28, 2022. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Lawrenceville, GA. The record was last updated on Sep 28, 2022.