Individual provider · Type 1 NPI

Kendall Cercone, PTA

Physical Therapy Assistant · Portland, OR

NPI number 1750087607 Active

Practice location

6003 SE 136th Ave
Portland, OR 97236-4567

Mailing address

1411 NW Quimby St Apt 312
Portland, OR 97209-4090

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000XNone listed

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 1750087607

Kendall Cercone, PTA's National Provider Identifier is 1750087607, issued on Feb 2, 2023. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Portland, OR. The record was last updated on Feb 2, 2023.