Individual provider · Type 1 NPI

Ivan Pate, PTA

Physical Therapy Assistant · Albany, GA

NPI number 1790027381 Active

Practice location

2405 Osler Ct, Suite 200
Albany, GA 31707-0214

Fax (229) 883-4320

Mailing address

156 Winding Way Apt C
Leesburg, GA 31763-5055

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000XPTA002360 (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 1790027381

Ivan Pate, PTA's National Provider Identifier is 1790027381, issued on Mar 21, 2013. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Albany, GA. The record was last updated on Mar 21, 2013.