Individual provider · Type 1 NPI

Jane Fields Ellison, PTA

Physical Therapy Assistant · Leesburg, VA

NPI number 1821371659 Active

Practice location

224D Cornwall St NW, Suite 200
Leesburg, VA 20176-2700

Fax (703) 443-2690

Mailing address

PO Box 17334
Baltimore, MD 21297-1334

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X230600042 (VA)

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 1821371659

Jane Fields Ellison, PTA's National Provider Identifier is 1821371659, issued on Sep 28, 2011. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Leesburg, VA. The record was last updated on Sep 28, 2011.