Individual provider · Type 1 NPI

Verioska Jaatsy Tominack, PTA

Physical Therapy Assistant · Leonardtown, MD

NPI number 1760158356 Active

Practice location

23511 Hollywood Rd
Leonardtown, MD 20650-5921

Fax (240) 577-6432

Mailing address

26130 Clarkes Village Ln
Mechanicsville, MD 20659-3886

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000XA5417 (MD)

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 1760158356

Verioska Jaatsy Tominack, PTA's National Provider Identifier is 1760158356, issued on Aug 23, 2021. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Leonardtown, MD. The record was last updated on Feb 5, 2026.