Individual provider · Type 1 NPI

Terry Kevin Mattice, PTA

Physical Therapy Assistant · Ithaca, NY

NPI number 1790902880 Active

Practice location

2230 N Triphammer Rd
Ithaca, NY 14850-6513

Call (607) 266-5316 Map

Fax (607) 266-5353

Mailing address

136 Pine Tree Rd
Ithaca, NY 14850-6332

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X0036971 (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 …

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About NPI 1790902880

Terry Kevin Mattice, PTA's National Provider Identifier is 1790902880, issued on Apr 19, 2007. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Ithaca, NY. The record was last updated on Jul 8, 2007.