Individual provider · Type 1 NPI
Melissa Dettman, PTA
Physical Therapy Assistant · East Bethany, NY
Practice location
5737 Ellicott Street Rd
East Bethany, NY 14054-9794
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Therapy Assistant Primary | 225200000X | 003291 (NY) |
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 …
About NPI 1750201174
Melissa Dettman, PTA's National Provider Identifier is 1750201174, issued on Jul 16, 2026. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in East Bethany, NY. The record was last updated on Jul 16, 2026.